HomeNPI Verification

NPI Verification

National Provider Identifier: 1558384388

Michael C. Wallis, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

All Specialties (2)

Urology, Pediatric Urology

Code: 2088P0231X

Urology

Code: 208800000X

Primary

Practice Address

100 MARIO CAPECCHI DR

SALT LAKE CITY, UT 841131103

Phone: 801-662-5555

NPI Enumeration Date

July 25, 2006

NPI Number

1558384388

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry