DR. MARK WALLACE, MD
Internal Medicine
Active
Individual
NPI: 1932104205
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine | 207R00000X | Yes | 19816 (AZ) |
Frequently Asked Questions
NPI 1932104205 is the National Provider Identifier for DR. MARK WALLACE, MD, a Internal Medicine provider located in Scottsdale, AZ. This NPI was enumerated on June 14, 2005.
DR. MARK WALLACE, MD practices at 13400 E SHEA BLVD, Scottsdale, AZ 85259.
Quick Facts
- NPI
- 1932104205
- Type
- Individual
- Enumerated
- Jun 14, 2005
- Last Updated
- Sep 3, 2020
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