Robin Patricia Wallace, D.O.M., LIC. AC.

Acupuncturist · Glorieta, NM

Individual Active NPI

NPI number 1306948948

Practice location

146 Glory Lane
Glorieta, NM 87535
Phone
(505) 231-6684
Fax
(505) 884-4015

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NPI record

NPI
1306948948
Entity type
Individual (Type 1)
Enumeration date
September 3, 2006
Last updated
March 2, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Acupuncturist Primary 171100000X KO000048L PA
Acupuncturist 171100000X AK000355L PA

Mailing address

PO Box 422
Glorieta, NM 87535
Phone
(505) 231-6684
Fax
(505) 884-4015

About Robin Wallace

Robin Patricia Wallace, D.O.M., LIC. AC. is a healthcare provider registered in the NPI registry with the primary taxonomy Acupuncturist (code 171100000X). The practice location is 146 Glory Lane, Glorieta, NM 87535. The NPI number 1306948948 was assigned on September 3, 2006 and the record was last updated on March 2, 2009.

Robin Wallace lists 2 licenses in the registry: #KO000048L (PA) for Acupuncturist; #AK000355L (PA) for Acupuncturist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robin Patricia Wallace, D.O.M., LIC. AC.?

The NPI number is 1306948948.

What is the phone number of Robin Wallace?

The phone number listed for the practice location is (505) 231-6684.

Where is Robin Wallace located?

146 Glory Lane, Glorieta, NM 87535.

What is the taxonomy code for Robin Wallace?

The primary taxonomy code is 171100000X – Acupuncturist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.