Michael C. Wallis in Salt Lake City - Pediatric Urology
Michael C. Wallis - NPI 1558384388
Michael C. Wallis is a Pediatric Urology in Salt Lake City, Utah. Michael C. Wallis practices all healthcare services and medical treatments related to Pediatric Urology. The NPI Number for Michael C. Wallis is 1558384388. The last update date is 2021-12-16.
Michael C. Wallis's current location address is 100 Mario Capecchi Dr, Salt Lake City, Utah. You can contact this provider via phone number 8016625555. The mailing address for Michael C. Wallis is 100 Mario Capecchi Dr, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael C. Wallis |
|---|---|
| Address | 100 Mario Capecchi Dr, Salt Lake City, Utah |
| Phone Number | 8016625555 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1558384388 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2021-12-16 |
Provider Mailing Address Detail
| Address | 100 Mario Capecchi Dr |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841131103 |
| Phone Number | 8016625555 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Urology |
|---|---|
| Taxonomy | 2088P0231X |
| Licence No | M-13870 |
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Definition: Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally |
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Post Comment/ Review Below
What is the Michael C. Wallis's unique identification number?
The Michael C. Wallis has been assigned the NPI (National Provider Identifier) Number 1558384388 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Michael C. Wallis?
The Michael C. Wallis is physically situated at 100 Mario Capecchi Dr, in the city of Salt Lake City, state of UT, with the postal code 841131103.
What is Michael C. Wallis's area of expertise and its corresponding taxonomy classification?
The Michael C. Wallis's field of specialization is Pediatric Urology, and it falls under the taxonomy code 2088P0231X, which categorizes healthcare providers based on their areas of practice.
On what date did the Michael C. Wallis receive its 1558384388 assignment from the Centers for Medicare & Medicaid Services?
The Michael C. Wallis was assigned its 1558384388 by the Centers for Medicare & Medicaid Services on 2006-07-25.
As of what date was the information pertaining to Michael C. Wallis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michael C. Wallis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-12-16.