Individual
DR. ANDREW NELS WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9201 E MOUNTAIN VIEW RD STE 105, SCOTTSDALE, AZ 85258-5140
(480) 587-6970
Mailing address
9201 E MOUNTAIN VIEW RD STE 105, SCOTTSDALE, AZ 85258-5140
(480) 587-6970
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
011500
AZ
207RI0200X
Infectious Disease Physician
Primary
011500
AZ
Other
Enumeration date
04/08/2016
Last updated
02/12/2025
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