Stephen Stockton Wallace DC

NPI 1053620591 - Chiropractor - 111N00000X

NPI Details
NPI 1053620591
Gender Male
Enumeration Date 10/01/2010
Last Updated 10/01/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
3435 FARM BANK WAY
GROVE CITY OH, 43123-1974, US
Phone (614) 539-0405
Fax (614) 539-0554
Business Location
3435 FARM BANK WAY
GROVE CITY OH, 43123-1974, US
Phone (614) 539-0405
Fax (614) 539-0554
Toxanomy
Taxonomy Code 111N00000X
License State Ohio
License Number 4116
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According to our database, Dr. Stephen Stockton Wallace DC NPI is 1053620591, taxonomy code is 111N00000X and license number is 4116, license state is located at Ohio. Stephen Stockton Wallace DC physically located at 3435 Farm Bank Way, Grove City OH, 43123-1974. NPI Number Stephen Stockton Wallace DC has the Individual type.

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1053620591 NPI number is provided on an as is basis without warranty of any kind. 1053620591 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Stockton Wallace DC are for informational purposes only.