WILLIAM S WALLACE

EL DORADO, KS
NPI1467429860
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: KS  KS44943)
Enumeration Date2006-03-03
Last Update Date2017-02-10
Business Address
MR. WILLIAM S WALLACE APNP
700 W CENTRAL AVE SUITE 105
EL DORADO, KS 67042-2184
Phone number: 316-322-9813
Mailing Address
MR. WILLIAM S WALLACE APNP
700 W CENTRAL AVE SUITE 105
EL DORADO, KS 67042-2184
Phone number: 316-322-9813
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