Richard J Wall MD

NPI 1184780728 - Internal Medicine - 207R00000X

NPI Details
NPI 1184780728
Gender Male
Enumeration Date 12/28/2006
Last Updated 01/28/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
RENTON WA, 98055, US
Phone (425) 251-5110
Fax (425) 793-7382
Business Location
PO BOX 59028
RENTON WA, 98058-2028, US
Phone (425) 251-5110
Fax (425) 793-7458
Taxonomy Code 207R00000X
License State Washington
License Number MD00042456
Remove 1184780728 NPI Number

According to our database, Richard J Wall MD NPI is 1184780728, taxonomy code is 207R00000X and license number is MD00042456, license state is located at Washington. Richard J Wall MD physically located at 4033 Talbot Rd S, Renton WA, 98055. NPI Number Richard J Wall MD has the Individual type.

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1184780728 NPI number is provided on an as is basis without warranty of any kind. 1184780728 is maintained by the National Plan & Provider Enumeration System. The contents of Richard J Wall MD are for informational purposes only.