Individual provider · Type 1 NPI

R. Larry Wallace, DC

Chiropractor · Artesia, NM

NPI number 1821167800 Active

Practice location

612 W Grand Ave
Artesia, NM 88210-2054

Fax (505) 748-2700

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X1212 (NM)

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 1821167800

R. Larry Wallace, DC's National Provider Identifier is 1821167800, issued on Nov 6, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Artesia, NM. The record was last updated on Jul 8, 2007.