Individual
DR. THOMAS R WALLACE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
211 MCAULEY CT, HOT SPRINGS, AR 71913-6314
(501) 624-0609
(501) 624-6191
Mailing address
211 MCAULEY CT, HOT SPRINGS, AR 71913-6314
(501) 624-0609
(501) 624-6191
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C4653
AR
Other
Enumeration date
05/27/2005
Last updated
07/09/2007
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