person
Dr. Richard M. Wallace, MD
Specialist in Bozeman, Montana
NPI 1881656940

Richard M. Wallace is a Specialist based in Bozeman, MT. Richard M. Wallace practices in Bozeman, MT and has the professional credentials of MD. The NPI Number for Richard M. Wallace is 1881656940 and holds a License No. 6907 (Montana).

The current practice location address for Richard M. Wallace is 925 Highland Blvd.,, Bozeman, MT and can be reached out via phone at 406-587-8631 and via fax at 406-587-1343. You can also correspond with Richard M. Wallace through the mailing address at 925 HIGHLAND BLVD.,, BOZEMAN, MT - 59715 (mailing address contact number: 406-587-8631).

Location: 925 Highland Blvd.,, Bozeman, MT, 59715
person
Provider Profile Details
NPI Number
1881656940
Provider Name
Richard M. Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
925 Highland Blvd.,, Bozeman, MT, 59715
Phone Number
406-587-8631
Fax Number
406-587-1343
Provider Enumeration Date
04/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0144690 05 MT
0089427 05 MT
institution
Provider Business Practice Location Address Details
Address
925 Highland Blvd.,
City
State
Zip
59715
Phone Number
406-587-8631
Fax Number
406-587-1343
person
Provider Business Mailing Address Details
Address
925 Highland Blvd.,
City
State
Zip
59715
Phone Number
406-587-8631
Fax Number
406-587-1343
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
6907 (Montana)
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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