Dr Denver R Wallace, DC | |
430 South Elm Street, Bald Knob, AR 72010-1177 | |
(501) 724-5614 | |
(501) 724-5614 |
Full Name | Dr Denver R Wallace |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 33 Years |
Location | 430 South Elm Street, Bald Knob, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003889148 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 1319 (Arkansas) | Primary |
Provider Name | Wallace Chiropractic Clinic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1407327604 PECOS PAC ID: 0648516435 Enrollment ID: O20190116000602 |
Mailing Address | Practice Location Address |
---|---|
Dr Denver R Wallace, DC 430 South Elm Street, P.o. Box 1177, Bald Knob, AR 72010-1177 Ph: (501) 724-5614 | Dr Denver R Wallace, DC 430 South Elm Street, Bald Knob, AR 72010-1177 Ph: (501) 724-5614 |
Moore Chiropractic Center, P.a. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3609 Highway 367 N, Bald Knob, AR 72010 Phone: 501-724-2202 | |
Wallace Chiropractic Clinic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 430 S Elm St, Bald Knob, AR 72010 Phone: 501-724-5614 | |
Wallace Chiropractic Clinic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 430 S. Elm St, Bald Knob, AR 72010 Phone: 501-724-5614 | |
Dr. Phillip Moore, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3609 Highway 367 N, Bald Knob, AR 72010 Phone: 501-724-2202 Fax: 501-724-2202 | |
Dr. Taylor Wallace, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 430 South Elm Street, Bald Knob, AR 72010 Phone: 501-724-5614 Fax: 501-724-5614 |