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NPI Verification

National Provider Identifier: 1811088933

Bruce J Wallace, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

Practice Address

699 SIERRA ROSE DR STE A

RENO, NV 895112069

Phone: 775-823-8166

NPI Enumeration Date

September 27, 2006

NPI Number

1811088933

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry