Individual
DR. WALLACE J HARRISON JR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3375 BADGER RD, SUITE 5, NORTH POLE, AK 99705-6133
(907) 488-1885
Mailing address
3375 BADGER RD, SUITE 5, NORTH POLE, AK 99705-6133
(907) 488-1885
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
378
AK
111NR0200X
Radiology Chiropractor
378
AK
Other
Enumeration date
03/19/2007
Last updated
07/01/2008
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