IndividualActive
Andrew Wallace, D.O.
NPI 1912361502 · Infectious Disease Physician · Scottsdale, AZ
Provider details
- NPI number
- 1912361502
- Entity type
- Individual
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 011500 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
9201 E Mountain View Rd Ste 105
Scottsdale, AZ 85258-5140
Phone: (480) 587-6970
Approximate (ZIP-level) locationGet directions
Mailing address
9201 E Mountain View Rd Ste 105
Scottsdale, AZ 85258-5140
Registry dates
- Enumerated
- 2016-04-08
- Last updated
- 2025-02-12
- Certified
- 2025-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.