Individual
DR. DENVER R WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
430 SOUTH ELM STREET, BALD KNOB, AR 72010-1177
(501) 724-5614
(501) 724-5614
Mailing address
430 SOUTH ELM STREET, P.O. BOX 1177, BALD KNOB, AR 72010-1177
(501) 724-5614
(501) 724-5614
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1319
AR
Other
Enumeration date
02/09/2006
Last updated
01/24/2008
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