Haily Wallace, MD

NPI #1679839534 in Tucumcari, New Mexico

Provider Information

NPI Number
1679839534
Entity Type
Individual
Name
Haily Wallace, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
MD
Enumeration Date
Apr 5, 2012
Last Updated
Jun 18, 2015

Practice Location

Address
402 E MIEL DE LUNA AVE
Address 2
PMG AT DR DAN C TRIGG MEMORIAL HOSPITAL
ZIP Code
88401-3828
Phone
(575) 461-7100

Specialties & Taxonomy Codes

Specialty
Family Medicine
Student in an Organized Health Care Education/Training Program

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