Individual
AARON DAVID WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4970 CAUGHLIN PARKWAY, SUITE 356, RENO, NV 89519
(775) 982-4000
Mailing address
4459 WHITE FISH DRIVE, RENO, NV 89511
(858) 888-0670
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20961
NV
207L00000X
Anesthesiology Physician
6851189-1205
UT
207L00000X
Anesthesiology Physician
8589A
WY
207L00000X
Anesthesiology Physician
A102149
CA
Other
Enumeration date
06/10/2008
Last updated
07/25/2023
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