Richard M. Wallace in Bozeman - Specialist
Richard M. Wallace - NPI 1881656940
Richard M. Wallace is a Specialist in Bozeman, Montana. Richard M. Wallace practices all healthcare services and medical treatments related to Specialist. The NPI Number for Richard M. Wallace is 1881656940. The last update date is 2007-07-09.
Richard M. Wallace's current location address is 925 Highland Blvd.,, Bozeman, Montana. You can contact this provider via phone number 4065878631 and fax number 4065871343. The mailing address for Richard M. Wallace is 925 Highland Blvd.,, Bozeman, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard M. Wallace |
|---|---|
| Address | 925 Highland Blvd.,, Bozeman, Montana |
| Phone Number | 4065878631 |
| Fax Number | 4065871343 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1881656940 |
|---|---|
| Provider Enumeration Date | 2006-04-04 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 925 Highland Blvd., |
|---|---|
| City | Bozeman |
| State | Montana (MT) |
| Post Code | 59715 |
| Phone Number | 4065878631 |
| Fax Number | 4065871343 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 6907 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 144690 | MT | -- | |
| 89427 | MT | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Richard M. Wallace?
The Richard M. Wallace has been issued the NPI (National Provider Identifier) 1881656940 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Richard M. Wallace's facilities are situated?
The facilities of Richard M. Wallace are physically located at the following address: 925 Highland Blvd.,, Bozeman, MT, 59715.
What is Richard M. Wallace's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Richard M. Wallace is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the Richard M. Wallace receive the assignment of its 1881656940 from the Centers for Medicare & Medicaid Services?
The Richard M. Wallace was issued its 1881656940 by the Centers for Medicare & Medicaid Services on 2006-04-04.
As of what date was the information pertaining to Richard M. Wallace, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Richard M. Wallace, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.