Individual
DR. ALEXIS WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DVM
Contact information
Practice address
2723 PAOLI PIKE, NEW ALBANY, IN 47150-5115
(812) 945-0423
Mailing address
2723 PAOLI PIKE, NEW ALBANY, IN 47150-5115
(812) 945-0423
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24005203
IN
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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