Organization
WALLACE CHIROPRACTIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENVER WALLACE D.C. (PART OWNER)
(501) 283-0800
Entity
Organization
Contact information
Practice address
430 S ELM ST, BALD KNOB, AR 72010
(501) 724-5614
Mailing address
PO BOX 1177, BALD KNOB, AR 72010-1177
(501) 724-5614
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/04/2024
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