Philip Harold Wallar M.D.

NPI 1043317159 - Ophthalmology - 207W00000X

NPI Details
NPI 1043317159
Gender Male
Enumeration Date 09/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
11201 BENTON ST
LOMA LINDA CA, 92357-1000, US
Phone (909) 583-6067
Fax (999) 777-3291
Business Location
11201 BENTON ST
LOMA LINDA CA, 92357-1000, US
Phone (909) 583-6067
Fax (999) 777-3291
Toxanomy
Taxonomy Code 207W00000X
License State Nevada
License Number G18738
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According to our database, Dr. Philip Harold Wallar M.D. NPI is 1043317159, taxonomy code is 207W00000X and license number is G18738, license state is located at Nevada. Philip Harold Wallar M.D. physically located at 11201 Benton St, Loma Linda CA, 92357-1000. NPI Number Philip Harold Wallar M.D. has the Individual type.

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1043317159 NPI number is provided on an as is basis without warranty of any kind. 1043317159 is maintained by the National Plan & Provider Enumeration System. The contents of Philip Harold Wallar M.D. are for informational purposes only.