Individual
SCOTT ANDREW WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8901 WISCONSIN AVE BLDG 85T, BETHESDA, MD 20889-0004
(301) 295-0786
Mailing address
8901 WISCONSIN AVE BLDG 85T, BETHESDA, MD 20889-0004
(301) 295-0786
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
D76451
MD
Other
Enumeration date
03/28/2012
Last updated
10/03/2024
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