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1922441880
SCOTT MICHAEL WALLACE
RENO, NV
NPI
1922441880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NV 16487)
Enumeration Date
2013-04-10
Last Update Date
2016-09-01
Business Address
-- SCOTT MICHAEL WALLACE M.D.
75 PRINGLE WAY STE 300
RENO, NV 89502-1464
Phone number: 775-982-5000
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Mailing Address
-- SCOTT MICHAEL WALLACE M.D.
780 KUENZLI ST STE 202
RENO, NV 89502-0845
Phone number: 775-982-5262
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