David Wallies

NPI #1316794225 in Cabot, Arkansas

Provider Information

NPI Number: 1316794225
Entity Type: Individual
Name: David Wallies
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Apr 30, 2024
Last Updated: Apr 30, 2024

Practice Location

Address: 3148 HIGHWAY 367 S
City: Cabot
State: Arkansas
ZIP Code: 72023-7473
Phone: (501) 941-3500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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