DR. Mark Randall Wallace, MD
NPI #1932104205 in Scottsdale, Arizona
Provider Information
- NPI Number
- 1932104205
- Entity Type
- Individual
- Name
- DR. Mark Randall Wallace, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine
- Credential
- MD
- Enumeration Date
- Jun 14, 2005
- Last Updated
- Sep 3, 2020
Practice Location
- Address
- 13400 E SHEA BLVD
- City
- Scottsdale
- State
- Arizona
- ZIP Code
- 85259
- Phone
- (480) 301-8000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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