Scott Michael Wallace
M.D. | Pediatrics | Male
Scott Michael Wallace, M.D. is a Reno, Nevada based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Scott Michael Wallace is
75 Pringle Way, Ste 300, Reno, Nevada - 89502-1464. He can be contacted on phone at
775-982-5000 and fax number 775-982-3900.
Scott Michael Wallace is a sole proprietor of his business.
NPI number (Unique professional ID) for Scott Michael Wallace is
1922441880 which was assigned by NPPES on 10 Apr, 2013 and it was last updated on 01 Sep, 2016.
Scott Michael Wallace license number is
16487 for Pediatrics (208000000X) in Nevada.
Scott Michael Wallace is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Scott Michael Wallace basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Scott Michael Wallace |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Scott Michael Wallace address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 75 Pringle Way, Ste 300
Reno, NV, 89502-1464
United States |
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| Phone Number : | 775-982-5000 |
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| Fax Number : | 775-982-3900 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1922441880 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 10 Apr, 2013 |
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| Last Updated On : | 01 Sep, 2016 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Scott Michael Wallace are as mentioned. Primary taxonomy code for Scott Michael Wallace, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 16487 | NV |
Legacy Identifiers:
Other legacy medical identifiers of Scott Michael Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 13804974 | Other | | CAQH |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 780 Kuenzli St, Ste 202
Reno, NV, 89502-0845
United States |
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| Phone Number : | 775-982-5262 |
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| Fax Number : | 775-982-5496 |
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Business Location:
Patients can refer following map for directions to
Scott Michael Wallace practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.