Scott C. Wallace MD INC
NPI #1104394329 in El Centro, California
Provider Information
- NPI Number
- 1104394329
- Entity Type
- Organization
- Organization Name
- Scott C. Wallace MD INC
- Primary Specialty
- Anesthesiology
- Enumeration Date
- Nov 6, 2018
- Last Updated
- Jan 16, 2020
Practice Location
- Address
- 1415 ROSS AVE
- City
- El Centro
- State
- California
- ZIP Code
- 92243-4306
- Phone
- (301) 305-5959
Authorized Official
- Name
- SCOTT C WALLACE, MD
- Title
- OWNER/PHYSICIAN
- Phone
- (765) 284-0493
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology - Pediatric Anesthesiology — Pediatric Anesthesiology |
| Anesthesiology |
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