Benjamin Wallace, PA
NPI 1992936066 · Surgical Physician Assistant · Salt Lake City, UT
Benjamin Wallace, PA is a Surgical Physician Assistant provider in Salt Lake City, UT (NPI 1992936066).
Provider details
- NPI number
- 1992936066
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-08-06
- Last updated
- 2026-01-02
- Certified
- 2026-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.