Brian Edward Wallace, M.D.

Anesthesiology Physician · Puyallup, WA

Individual Active NPI

NPI number 1790017028

Practice location

400 E Pioneer Ave
Suite 101
Puyallup, WA 98372-3255
Phone
(253) 445-5828

Open in Google Maps

NPI record

NPI
1790017028
Entity type
Individual (Type 1)
Enumeration date
February 11, 2010
Last updated
July 11, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Anesthesiology Physician Primary 207L00000X MD 60120035 WA

About Dr. Wallace

Brian Edward Wallace, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Anesthesiology Physician (code 207L00000X). The practice location is 400 E Pioneer Ave, Suite 101, Puyallup, WA 98372-3255. The NPI number 1790017028 was assigned on February 11, 2010 and the record was last updated on July 11, 2016.

Dr. Wallace lists a license in the registry: #MD 60120035 (WA) for Anesthesiology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brian Edward Wallace, M.D.?

The NPI number is 1790017028.

What is the phone number of Dr. Wallace?

The phone number listed for the practice location is (253) 445-5828.

Where is Dr. Wallace located?

400 E Pioneer Ave, Suite 101, Puyallup, WA 98372-3255.

What is the taxonomy code for Dr. Wallace?

The primary taxonomy code is 207L00000X – Anesthesiology Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Anesthesiology Physician providers in Puyallup

All Anesthesiology Physician providers in Puyallup, WA →