Individual
DR. DREW GEORGE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1801 WEST AVENUE N, SAN ANGELO, TX 76904
(325) 949-7878
(325) 944-7703
Mailing address
1801 WEST AVENUE N, SAN ANGELO, TX 76904
(325) 949-7878
(325) 944-7703
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6345
TX
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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