DR. R. Larry Wallace, D.C.

NPI #1821167800 in Artesia, New Mexico

Provider Information

NPI Number
1821167800
Entity Type
Individual
Name
DR. R. Larry Wallace, D.C.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Chiropractor
Credential
D.C.
Enumeration Date
Nov 6, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
612 W GRAND AVE
ZIP Code
88210-2054
Phone
(505) 748-2700

Specialties & Taxonomy Codes

Specialty
Chiropractor

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