Gary Wayne Wallace is a Ophthalmology Physician based in Idaho Falls, ID. Gary Wayne Wallace practices in Idaho Falls, ID and has the professional credentials of MD. The NPI Number for Gary Wayne Wallace is 1144335290 and holds a License No. M-6226 (Idaho).
The current practice location address for Gary Wayne Wallace is 2295 Coronado Street, Idaho Falls, ID and can be reached out via phone at 208-524-8600 and via fax at 208-524-8394. You can also correspond with Gary Wayne Wallace through the mailing address at 2295 CORONADO STREET, IDAHO FALLS, ID - 83404 (mailing address contact number: 208-524-8600).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010001884 | 01 | ID | REGENCE BLUE SHIELD |
| 002797900 | 05 | ID | |
| J4449 | 01 | ID | BLUE CROSS |
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