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Wallace Lock, MD
Emergency Medicine Physician in Fort Smith, Arkansas
NPI 1437545761

Wallace Lock is a Emergency Medicine Physician based in Hughes, AR. Wallace Lock practices in Fort Smith, AR and has the professional credentials of MD. The NPI Number for Wallace Lock is 1437545761 and holds a License No. E-10064 (Arkansas).

The current practice location address for Wallace Lock is 612 S 12Th St, Fort Smith, AR and can be reached out via phone at 479-424-3193.

Location: 612 S 12Th St, Fort Smith, AR, 72348-9100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437545761
Provider Name
Wallace Lock
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
612 S 12Th St, Fort Smith, AR, 72348-9100
Phone Number
479-424-3193
Fax Number
Provider Enumeration Date
04/14/2015
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
612 S 12Th St
City
Fort Smith
State
Arkansas
Zip
72901-4702
Phone Number
479-424-3193
Fax Number
person
Provider Business Mailing Address Details
Address
612 S 12Th St
City
Fort Smith
State
Arkansas
Zip
72901-4702
Phone Number
479-424-3193
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
()
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
E-10064 (Arkansas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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