Individual
DR. TAYLOR WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
430 SOUTH ELM STREET, BALD KNOB, AR 72010-1177
(501) 724-5614
(501) 724-5614
Mailing address
PO BOX 1177, BALD KNOB, AR 72010-1177
(501) 724-5614
(501) 724-5614
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
16058
AR
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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