Wallace Chiropractic & Nutrition Clinic
NPI #1063617918 in Overland Park, Kansas
Provider Information
- NPI Number
- 1063617918
- Entity Type
- Organization
- Organization Name
- Wallace Chiropractic & Nutrition Clinic
- Primary Specialty
- Chiropractor
- Enumeration Date
- Jun 20, 2007
- Last Updated
- Sep 10, 2008
Practice Location
- Address
- 9337 W 75TH ST
- City
- Overland Park
- State
- Kansas
- ZIP Code
- 66204
- Phone
- (913) 722-3200
Authorized Official
- Name
- DR. MARK RICHARD WALLACE, DC
- Title
- BUSINESS OWNER CHIROPRACTOR
- Phone
- (913) 722-3200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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