← CMS Doctors and Clinicians

MICHAEL CHAD WALLIS, MD

UROLOGY · SALT LAKE CITY, UT

Provider

NPI
1558384388
Credential
MD
Primary specialty
UROLOGY
Secondary specialties
PEDIATRIC MEDICINE
Gender
Male
Medical school
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation year
1999

Practice

Address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 841131103
Phone
8015877109
Accepts Medicare
Yes (individual)
Telehealth
No

Source

Authoritative
NPI Registry
Machine
JSON-LD · Markdown