Search › Colorado › 207L00000X
Austin Wallace, M.D
NPI 1437356193 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1010 Three Springs Blvd
Suite 294
Durango, CO 81301 - Phone
- (970) 247-4311
- Fax
- (970) 764-3894
- Organisation at this address
- Usacs Of Colorado Inc
Mountain States Pathology Pc
Mercy Regional Medical Center
Portercare Adventist Health System
Southwest Emergency Physicians, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 105
Registry record
- Primary taxonomy
- 207L00000X
207L00000X
- Also registered as
- 207L00000X
207R00000X - Licence states on file
- UT, HI, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado