Richard Wayne Wall M.D.

NPI 1023266327 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1023266327
Gender Male
Enumeration Date 08/29/2008
Last Updated 08/29/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2690 STATE ROAD 13
SWITZERLAND FL, 32259-9262, US
Phone (904) 710-3344
Fax
Business Location
2690 STATE ROAD 13
SWITZERLAND FL, 32259-9262, US
Phone (904) 710-3344
Fax
Toxanomy
Taxonomy Code 207V00000X
License State Florida
License Number ME 50508
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According to our database, Dr. Richard Wayne Wall M.D. NPI is 1023266327, taxonomy code is 207V00000X and license number is ME 50508, license state is located at Florida. Richard Wayne Wall M.D. physically located at 2690 State Road 13, Switzerland FL, 32259-9262. NPI Number Richard Wayne Wall M.D. has the Individual type.

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1023266327 NPI number is provided on an as is basis without warranty of any kind. 1023266327 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Wayne Wall M.D. are for informational purposes only.