Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Sam A Wallace, DO

Individual provider Family Medicine Physician · NPI 1144353707

Dr. Sam A Wallace, DO is a Family Practice in Missoula, Montana. Graduated from College of Osteo Med of the Pacific at Pomona in 1996, 30 years ago. Practices as a sole proprietor. Licensed in Montana.

Years since qualifying
30
Trained at
College of Osteo Med of the Pacific at Pomona
Licensed in
MT
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

341 W Pine St
Missoula, MT 59802-4119
Phone: (406) 327-0269
Fax: (406) 327-0264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 8667 (MT)

Record details

NPI number1144353707
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 13, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesOSTEOPATHIC MANIPULATIVE MEDICINE
Medical schoolCOLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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