NPI 1275809899

Scott Andrew Wallace, MD

Practitioner Preventive Medicine/Occupational Environmental Medicine Physician Annapolis, MD

Practice location

Address: 695 Kinkaid Rd, Annapolis, MD 21402-1006
Phone: (410) 320-0010
Mailing address: 8901 Wisconsin Ave Bldg 85t, Bethesda, MD 20889-0004

Registered specialties (2)

Preventive Medicine/Occupational Environmental Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0500X Licence D76451 (MD)

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Allopathic & Osteopathic Physicians Taxonomy 2083A0100X Licence D0076451 (MD)

Registry record

NPI: 1275809899
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Mar 2012
Record last updated: 1 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.