DR. Mark Alan Wallace, DC
NPI #1942241096 in Collierville, Tennessee
Provider Information
- NPI Number
- 1942241096
- Entity Type
- Individual
- Name
- DR. Mark Alan Wallace, DC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Chiropractor
- Credential
- DC
- Enumeration Date
- Jun 9, 2006
- Last Updated
- Sep 29, 2010
Practice Location
- Address
- 2140 W POPLAR AVE
- Address 2
- SUITE 107
- City
- Collierville
- State
- Tennessee
- ZIP Code
- 38017-0624
- Phone
- (901) 861-1212
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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