Individual
ALEX WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
52860
AZ
2085R0204X
Vascular & Interventional Radiology Physician
Primary
52860
AZ
2085R0204X
Vascular & Interventional Radiology Physician
ME145187
FL
Other
Enumeration date
04/23/2015
Last updated
02/10/2022
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