Individual
SCOTT MICHAEL WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 PRINGLE WAY, STE 300, RENO, NV 89502-1464
(775) 982-5000
(775) 982-3900
Mailing address
780 KUENZLI ST, STE 202, RENO, NV 89502-0845
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
16487
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13804974
CAQH
—
Enumeration date
04/10/2013
Last updated
09/01/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us