DR. SAM WALLACE, D.O.
Family Medicine
Active
Individual
NPI: 1144353707
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 8667 (MT) |
Frequently Asked Questions
NPI 1144353707 is the National Provider Identifier for DR. SAM WALLACE, D.O., a Family Medicine provider located in Missoula, MT. This NPI was enumerated on March 13, 2007.
DR. SAM WALLACE, D.O. practices at 341 W PINE ST, Missoula, MT 59802.
Quick Facts
- NPI
- 1144353707
- Type
- Individual
- Enumerated
- Mar 13, 2007
- Last Updated
- Jul 8, 2007
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