2295 CORONADO STREET
IDAHO FALLS, ID 83404 US PECOS Enrolled
Overview
Gary Wayne Wallace is a Ophthalmologist in the IDAHO FALLS area and has over 32 years of experience. Gary Wayne Wallace primary office location is at 2295 CORONADO STREET and new patients are welcome to contact this healthcare provider for an appointment. He attended Baylor College Of Medicine and graduated 1993 The NPI number is 1144335290 and the information was updated approximately 14 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| M-6226 | ID |
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