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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WALLACE LOCK, M.D.

Active Sole Proprietor

Emergency Medicine · FORT SMITH, AR

Registration Details

NPI Number
1437545761
Provider Type
Individual
Gender
Male
NPI Issued
Apr 14, 2015 (11.036957407044 yrs)
Last Updated
Apr 4, 2024
Licenses
E-10064 (AR)
67669 (TN)
Sole Proprietor
Yes

Practice Information

Address
612 S 12TH ST
FORT SMITH, AR, 729014702
Browse AR providers · Browse ZIP 72901
Phone
4794243193
Primary Specialty
Emergency Medicine
207P00000X
Additional Specialty
Emergency Medicine

Other Emergency Medicine Providers in FORT SMITH, AR

Name Credential NPI
JAMES L RUSSELL MD 1932197241
STEPHEN B. NELSON M.D. 1447239702
DR. DANNY SILVER MD 1972582260
ROBERT CLINE LANE III M.D. 1619938164
MARSHALL JAMES NEWCITY M.D. 1306808886
DR. MICHELLE MARY HORAN M.D. 1679535181
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.