MARK RICHARD WALLACE DC NPI 1932367539

NPI Information

Mark Richard Wallace, DC is a chiropractor in Overland Park, KS. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. Mark Richard Wallace, DC NPI is 1932367539. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9337 W 75TH ST
OVERLAND PARK, KS
ZIP 66204
Phone: (913) 722-3200
Fax: (913) 432-8392

The enumeration date for this NPI number is 5/30/2008 and was last updated on 9/10/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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