Scott David Wallace, NP is a family nurse practitioner in Fairfield, CA. Scott David Wallace, NP NPI is 1790442408. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
513 SILVERADO CIR
FAIRFIELD, CA
ZIP 94534-818
Phone: (707) 864-3240
The enumeration date for this NPI number is 11/17/2021 and was last updated on 11/17/2021.