Wallace, Mark Randall

Wallace, Mark Randall is an individual health care provider with primary practice located at 13400 E Shea Blvd , Scottsdale AZ 85259. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wallace, Mark Randall can be contacted via phone (480) 301-8000.

Contact Information

Primary practice address
13400 E Shea Blvd Scottsdale AZ 85259
Phone: (480) 301-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 19816 Arizona

Profile Details

NPI number 1932104205
LBN Legal business name Wallace, Mark Randall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Sep 3rd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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