Scott Michael Wallace, M.D.

NPI #1922441880 in Reno, Nevada

Provider Information

NPI Number: 1922441880
Entity Type: Individual
Name: Scott Michael Wallace, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Apr 10, 2013
Last Updated: Sep 1, 2016

Practice Location

Address: 75 PRINGLE WAY
Address 2: STE 300
City: Reno
State: Nevada
ZIP Code: 89502-1464
Phone: (775) 982-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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