NPI 1316794225
David Wallies
Practice location
- Address
- 3148 Highway 367 S, Cabot, AR 72023-7473
- Phone
- (501) 941-3500
- Mailing address
- 3127 Southwest Dr, Jonesboro, AR 72404-8404
Registered specialties
Driver
Primary
Registry record
- NPI
- 1316794225
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 Apr 2024
- Record last updated
- 30 Apr 2024
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.