Search › Idaho › 207RI0011X
Eric Wallace, D.O
NPI 1568658243 · on the registry since 2007
Practice
- Address
- 700 W Ironwood Dr
320
Coeur D Alene, ID 83814 - Phone
- (208) 625-5250
- Organisation at this address
- Element Dental Pllc
Ideal Family Dental
Kootenai Health, Inc.
Kootenai Health, Inc.
Interlake Pharmacy IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 191
Additional practice sites
- 415 6th St, Lewiston, ID
- 2003 Kootenai Health Way, Coeur D Alene, ID
Registry record
- Primary taxonomy
- 207RI0011X
207RI0011X
- Also registered as
- 207R00000X
207R00000X
207RC0000X
207RI0011X - Licence states on file
- KY, NC, ID, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-25
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 Idaho