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Dr. Graham Wilson Wallace, MD
Diagnostic Radiology Physician in Denver, Colorado
NPI 1063499267

Graham Wilson Wallace is a Diagnostic Radiology Physician based in Denver, CO and is specialized in Diagnostic Radiology. Graham Wilson Wallace practices in Denver, CO and has the professional credentials of MD. The NPI Number for Graham Wilson Wallace is 1063499267 and holds a License No. 01051128A (Colorado).

The current practice location address for Graham Wilson Wallace is 777 Bannock St, Denver, CO and can be reached out via phone at 303-643-6494 and via fax at 303-602-4168.

Location: 777 Bannock St, Denver, CO, 80204-4597
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063499267
Provider Name
Graham Wilson Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
777 Bannock St, Denver, CO, 80204-4597
Phone Number
303-643-6494
Fax Number
303-602-4168
Provider Enumeration Date
12/29/2005
Last Update Date
09/14/2024
institution
Provider Business Practice Location Address Details
Address
777 Bannock St
City
Denver
State
Colorado
Zip
80204-4597
Phone Number
303-643-6494
Fax Number
303-602-4168
person
Provider Business Mailing Address Details
Address
777 Bannock St
City
Denver
State
Colorado
Zip
80204-4597
Phone Number
303-643-6494
Fax Number
303-602-4168
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
01051128A (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
01051128A (Indiana)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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