NPI 1003889148
Denver R Wallace, DC
Practice location
- Address
- 430 South Elm Street, Bald Knob, AR 72010-1177
- Phone
- (501) 724-5614
- Fax
- (501) 724-5614
- Mailing address
- 430 South Elm Street P.O. Box 1177, Bald Knob, AR 72010-1177
Registered specialties
Chiropractor
Primary
Registry record
- NPI
- 1003889148
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 9 Feb 2006
- Record last updated
- 24 Jan 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.