DR. Harry L. Wallace, D.C.

NPI #1578523734 in Moline, Illinois

Provider Information

NPI Number: 1578523734
Entity Type: Individual
Name: DR. Harry L. Wallace, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Mar 23, 2006
Last Updated: Mar 18, 2014

Practice Location

Address: 2001 52ND AVE
Address 2: SUITE 1
City: Moline
State: Illinois
ZIP Code: 61265-6368
Phone: (309) 764-4901

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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