Individual provider · Type 1 NPI

Mark Richard Wallace, DC

Chiropractor · Overland Park, KS

NPI number 1932367539 Active

Practice location

9337 W 75th St
Overland Park, KS 66204

Fax (913) 432-8392

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X04348 (KS)
Chiropractor 111N00000X6478 (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 1932367539

Mark Richard Wallace, DC's National Provider Identifier is 1932367539, issued on May 30, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Overland Park, KS. The record was last updated on Sep 10, 2008.