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Wayne O Wallace JR., MD
Family Medicine Physician in Atchison, Kansas
NPI 1639175292

Wayne O Wallace JR. is a Family Medicine Physician based in Atchison, KS. Wayne O Wallace JR. practices in Atchison, KS and has the professional credentials of MD. The NPI Number for Wayne O Wallace JR. is 1639175292 and holds a License No. 0413701 (Kansas).

The current practice location address for Wayne O Wallace JR. is 810 Raven Hill Drive, Atchison, KS and can be reached out via phone at 913-367-6689 and via fax at 913-360-5837.

Location: 810 Raven Hill Drive, Atchison, KS, 66002-1243
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639175292
Provider Name
Wayne O Wallace JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
810 Raven Hill Drive, Atchison, KS, 66002-1243
Phone Number
913-367-6689
Fax Number
913-360-5837
Provider Enumeration Date
06/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100098780I 05 KS
institution
Provider Business Practice Location Address Details
Address
810 Raven Hill Drive
City
Atchison
State
Kansas
Zip
66002-1401
Phone Number
913-367-6689
Fax Number
913-360-5837
person
Provider Business Mailing Address Details
Address
810 Raven Hill Drive
City
Atchison
State
Kansas
Zip
66002-1401
Phone Number
913-367-6689
Fax Number
913-360-5837
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
0413701 (Kansas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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