Terry J. Wallace D.C.

NPI 1902994379 - Chiropractor - 111N00000X

NPI Details
NPI 1902994379
Gender Male
Enumeration Date 10/11/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4455 N 9TH AVE
PENSACOLA FL, 32503-2830, US
Phone (850) 433-9337
Fax (850) 433-8069
Business Location
4455 N 9TH AVE
PENSACOLA FL, 32503-2830, US
Phone (850) 433-9337
Fax (850) 433-8069
Toxanomy
Taxonomy Code 111N00000X
License State Florida
License Number CH4532
Remove 1902994379 NPI Number
 

According to our database, Terry J. Wallace D.C. NPI is 1902994379, taxonomy code is 111N00000X and license number is CH4532, license state is located at Florida. Terry J. Wallace D.C. physically located at 4455 N 9th Ave, Pensacola FL, 32503-2830. NPI Number Terry J. Wallace D.C. has the Individual type.

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1902994379 NPI number is provided on an as is basis without warranty of any kind. 1902994379 is maintained by the National Plan & Provider Enumeration System. The contents of Terry J. Wallace D.C. are for informational purposes only.