Dr. Richard M. Wallace, MD - Bozeman, MT

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.

Location: 925 Highland Blvd.,, Bozeman, MT, 59715

NPI Number

1881656940

Provider Name

Richard M. Wallace

Credential

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

Identifier	Type	State	Issuer
0144690	05	MT
0089427	05	MT

Address

925 Highland Blvd.,

City

Bozeman

State

Montana

Zip

59715

Phone Number

406-587-8631

Fax Number

406-587-1343

Address

925 Highland Blvd.,

City

Bozeman

State

Montana

Zip

59715

Phone Number

406-587-8631

Fax Number

406-587-1343

Type

Other Service Providers

Classification

Specialist

Speciality

Taxonomy

174400000X

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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