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Search › Arkansas › 183500000X

William Wallace

NPI 1528670361 · on the registry since 2020

Practice

Address
308 S Main St
Malvern, AR 72104
Phone
(501) 467-8197
Fax
(501) 467-8662
Organisation at this address
Walgreens
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-08-22

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