Search › New Mexico › 111N00000X
R. Wallace, D.C
NPI 1821167800 · on the registry since 2006 · sole proprietor
Practice
- Address
- 612 W Grand Ave
Artesia, NM 88210 - Phone
- (505) 748-2700
- Fax
- (505) 748-2700
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 New Mexico