Search › Arkansas › 207X00000X
Aaron Wallace, MD
NPI 1275701963 · on the registry since 2008
Practice
- Address
- 4802 E Johnson Ave
Jonesboro, AR 72401 - Phone
- (870) 936-8523
- Fax
- (870) 934-3633
- Organisation at this address
- Northeast Arkansas Clinic Charitable Foundation, Inc
Northeast Arkansas Clinic Charitable Foundation, Inc.
Northeast Arkansas Clinic Charitable Foundation, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 115
Registry record
- Primary taxonomy
- 207X00000X
207X00000X
- Also registered as
- 207X00000X
- Licence states on file
- PA, AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-01-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas