DR. Thomas R Wallace, M.D.

NPI #1124021696 in Hot Springs, Arkansas

Provider Information

NPI Number: 1124021696
Entity Type: Individual
Name: DR. Thomas R Wallace, M.D.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Ophthalmology
Credential: M.D.
Enumeration Date: May 27, 2005
Last Updated: Jul 9, 2007

Practice Location

Address: 211 MCAULEY CT
City: Hot Springs
State: Arkansas
ZIP Code: 71913-6314
Phone: (501) 624-0609

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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Organizations

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