Robin Patricia Wallace, DOM, LIC AC - Acupuncturist in Glorieta, NM

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Robin Patricia Wallace, DOM, LIC AC is a Acupuncturist based in Glorieta, New Mexico. Robin Patricia Wallace is licensed to practice in Pennsylvania (license number KO000048L) and her current practice location is 146 Glory Lane, Glorieta, New Mexico. She can be reached at her office (for appointments etc.) via phone at (505) 231-6684.

NPI number for Robin Patricia Wallace is 1306948948 and her current mailing address is Po Box 422, Glorieta, New Mexico. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306948948.

Contact Information

Robin Patricia Wallace, DOM, LIC AC
146 Glory Lane,
Glorieta, NM 87535
(505) 231-6684
(505) 884-4015

Map and Direction




Healthcare Provider's Profile

Full NameRobin Patricia Wallace
GenderFemale
SpecialityAcupuncturist
Location146 Glory Lane, Glorieta, New Mexico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306948948
  • Provider Enumeration Date: 09/03/2006
  • Last Update Date: 03/02/2009

Medical Identifiers

Medical identifiers for Robin Patricia Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306948948NPI-NPPES
1824619OtherPAHIGHMARK BS-PREM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
171100000XAcupuncturist AK000355L (Pennsylvania)Secondary
171100000XAcupuncturist KO000048L (Pennsylvania)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Robin Patricia Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Robin Patricia Wallace, DOM, LIC AC
Po Box 422,
Glorieta, NM 87535

Ph: (505) 231-6684		Robin Patricia Wallace, DOM, LIC AC
146 Glory Lane,
Glorieta, NM 87535

Ph: (505) 231-6684

Reviews and Comments


Acupuncturist in Glorieta, NM


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