DENVER R WALLACE

Dr DENVER R WALLACE is a male medical professional, specializing in Chiropractic. He graduated in 1992 from Logan College Of Chiropractic.

Contact

430 S ELM ST
BALD KNOB
AR
720104016

Tel:

DENVER R WALLACE Information

Npi 1003889148
Pac Id 4284896085
Professional Enrollment Id I20120424000106
Last Name WALLACE
First Name DENVER
Middle Name R
Suffix
Gender M
Credential
Medical School Name LOGAN COLLEGE OF CHIROPRACTIC
Graduation Year 1992
Primary Specialty CHIROPRACTIC
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 430 S ELM ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City BALD KNOB
State AR
Zip Code 720104016
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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