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

Scott Michael Wallace, MD

Individual provider Pediatrics Physician · NPI 1922441880

Scott Michael Wallace, MD is a Pediatrics Physician in Reno, Nevada. Licensed in Nevada. Registered with an NPI since 2013.

Licensed in
NV
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

75 Pringle Way Ste 300
Reno, NV 89502-1464
Phone: (775) 982-5000
Fax: (775) 982-3900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 16487 (NV)

Record details

NPI number1922441880
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2013
Last updated in NPPESSeptember 1, 2016
Mailing address780 Kuenzli St, Ste 202, Reno, NV 89502-0845

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