DR. Sam A Wallace, D.O.

NPI #1144353707 in Missoula, Montana

Provider Information

NPI Number
1144353707
Entity Type
Individual
Name
DR. Sam A Wallace, D.O.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Family Medicine
Credential
D.O.
Enumeration Date
Mar 13, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
341 W PINE ST
State
Montana
ZIP Code
59802-4119
Phone
(406) 327-0269

Specialties & Taxonomy Codes

Specialty
Family Medicine

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