Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK RANDALL WALLACE, MD
ActiveInternal Medicine · SCOTTSDALE, AZ
Registration Details
- NPI Number
- 1932104205
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2005 (20.852290156556 yrs)
- Last Updated
- Sep 3, 2020
- License
-
19816 (AZ)
Practice Information
- Address
-
13400 E SHEA BLVDSCOTTSDALE, AZ, 85259Browse AZ providers · Browse ZIP 85259
- Phone
- 4803018000
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in SCOTTSDALE, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. FRANK EDWARD MAGUIRE | M.D. | 1659374189 |
| DR. ROBERT LAWRENCE BIERMAN | M.D. | 1124023205 |
| MRS. MARY ANN ANN LECAVALIER | MD | 1861497950 |
| DR. STANLEY W. HOROWITZ | M.D. | 1619974094 |
| DR. NANNI B BACHENHEIMER | M.D. | 1578562807 |
| DEREK LLOYD THOMPSON | MD | 1982605770 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.