Search › California › 363LF0000X
Scott Wallace, NP
NPI 1790442408 · on the registry since 2021 · sole proprietor
Practice
- Address
- 513 Silverado Cir
Fairfield, CA 94534 - Phone
- (707) 864-3240
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California