IndividualActive
Gregory Wallace, MD
NPI 1770712309 · Anesthesiology Physician · Laramie, WY
Provider details
- NPI number
- 1770712309
- Entity type
- Individual
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
204 Mccollum Dr
Suite 101
Laramie, WY 82070-5151
Phone: (307) 745-6065
Fax: (307) 745-4936
Approximate (ZIP-level) locationGet directions
Mailing address
204 Mccollum Dr
Laramie, WY 82070-5151
Registry dates
- Enumerated
- 2009-07-02
- Last updated
- 2013-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.