Individual provider · Type 1 NPI
David Stuart Wallace, DC
Chiropractor · St. Charles, MO
NPI number
1386868487
Active
Practice location
2330 Highway 94 South Outer Rd
St. Charles, MO 63303-8301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 006811 (MO) |
Chiropractor: 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.
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About NPI 1386868487
David Stuart Wallace, DC's National Provider Identifier is 1386868487, issued on Apr 12, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in St. Charles, MO. The record was last updated on Jul 8, 2007.