JACOB WALLACE

SALINA, KS
NPI1871974527
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: KS  04-44613)
Additional Taxonomies207R00000X Internal Medicine
(Licence: KS  94-08609)
Enumeration Date2015-06-17
Last Update Date2025-03-10
Business Address
JACOB WALLACE M.D.
119 W IRON AVE FL 5
SALINA, KS 67401-2600
Phone number: 785-827-9526
Mailing Address
JACOB WALLACE M.D.
119 W IRON AVE FL 5
SALINA, KS 67401-2600
Phone number: 785-827-9526