Benjamin P. Wallace, PA
Surgical PA · Salt Lake City, UT
UnclaimedPANPI 1992936066
- Primary taxonomy
- 363AS0400X
- Enumerated
- 2009-08-06
- Practice location
- Salt Lake City, UT
- Last NPPES update
- 2026-01-02
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.