Search › Kansas › 207Q00000X
Wayne Wallace, MD
NPI 1639175292 · on the registry since 2005
Practice
- Address
- 810 Raven Hill Drive
Atchison, KS 66002 - Phone
- (913) 367-6689
- Fax
- (913) 360-5837
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- KS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-01-28
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 Kansas