Scott Earl Wallace, DO is a student in an organized health care education training program in Athens, OH. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Scott Earl Wallace, DO NPI is 1861074635. 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:
26 HOSPITAL DR FL 2
ATHENS, OH
ZIP 45701-471
Phone: (740) 249-4122
Fax: (740) 249-4126
The NPI 1861074635 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/22/2021 and was last updated on 3/20/2023.