Richard L Wallingford III M.D.

NPI 1679517007 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1679517007
Gender Male
Enumeration Date 06/15/2006
Last Updated 08/30/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
700 E MAIN ST
MONTROSE CO, 81401, US
Phone (970) 249-1238
Fax (970) 249-5781
Business Location
PO BOX 3339
700 E MAIN ST
MONTROSE CO, 81402, US
Phone (970) 249-1238
Fax (970) 249-5781
Toxanomy
Taxonomy Code 2084P0800X
License State Colorado
License Number 47328
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According to our database, Richard L Wallingford III M.D. NPI is 1679517007, taxonomy code is 2084P0800X and license number is 47328, license state is located at Colorado. Richard L Wallingford III M.D. physically located at 700 E Main St, Montrose CO, 81401. NPI Number Richard L Wallingford III M.D. has the Individual type.

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1679517007 NPI number is provided on an as is basis without warranty of any kind. 1679517007 is maintained by the National Plan & Provider Enumeration System. The contents of Richard L Wallingford III M.D. are for informational purposes only.