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Individual

DR. ROGER LEWIS WALLACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2900 12TH AVE N, SUITE 130W, BILLINGS, MT 59101-7506
(406) 237-8400
Mailing address
2900 12TH AVE N, SUITE 130W, BILLINGS, MT 59101-7506
(406) 237-8400

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
E4746
TX

Other

Enumeration date
04/05/2006
Last updated
02/15/2023
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