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1265613855
SCOTT ARTHUR WALLACE
DURHAM, NC
NPI
1265613855
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-01140)
Enumeration Date
2007-11-25
Last Update Date
2012-06-18
Business Address
Mr. SCOTT ARTHUR WALLACE PA-C
3643 N ROXBORO ST DURHAM REGIONAL HOSPITAL EMERGENCY DEPARTMENT
DURHAM, NC 27704-2702
Phone number: 919-470-5345
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Mailing Address
Mr. SCOTT ARTHUR WALLACE PA-C
PO BOX 15133
DURHAM, NC 27704-0133
Phone number: 919-470-5345
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