SPENCER RILEY WALLACE

GADSDEN, AL
NPI1831713387
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AL  1-147129)
Enumeration Date2020-06-01
Last Update Date2023-09-13
Business Address
Mr. SPENCER RILEY WALLACE CRNP
713 GOODYEAR AVE
GADSDEN, AL 35903-1156
Phone number: 256-492-4040
Mailing Address
Mr. SPENCER RILEY WALLACE CRNP
PO BOX 697
BOAZ, AL 35957-0697
Phone number: 256-840-8181
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