Individual provider · Type 1 NPI
Richard M. Wallace, MD
Specialist · Bozeman, MT
NPI number
1881656940
Active
Practice location
925 Highland Blvd.,, Suite 1180
Bozeman, MT 59715
Fax (406) 587-1343
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 6907 (MT) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1881656940
Richard M. Wallace, MD's National Provider Identifier is 1881656940, issued on Apr 4, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bozeman, MT. The record was last updated on Jul 13, 2026.