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Edit this profileJonathan W. Wallace, MD practices family medicine in Boise, ID. Jonathan is a 2023 graduate of Oregon Health Sciences University School of Medicine. Jonathan is also listed as specializing in student in an organized health care education program. The provider's National Provider Identifier (NPI) is 1487342119.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
777 N RAYMOND ST
Boise, ID 83704
100 E 33rd St Ste 100
Vancouver, WA 98663
Dr. Wallace is a family doctor in Boise, ID. That is the designation recorded for this NPI in the federal registry, where it is listed as “Family Medicine”.
NPI registry
Dr. Wallace is listed at 777 N Raymond St, Boise, ID 83704. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (208) 514-2500. Contact the office directly to confirm availability and scheduling.
NPI registry
Dr. Wallace's National Provider Identifier is 1487342119. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Dr. Wallace attended Oregon Health Sciences University School of Medicine, graduating in 2023. This comes from the CMS National Downloadable File.
CMS public data
Dr. Wallace has 3 years experience. Calculated from a graduation year of 2023, reported in the CMS National Downloadable File.
CMS public data
Not yet. This profile is built from public federal data and has not been confirmed by Dr. Wallace. If this is you, claiming it is free.
Guide.md
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