Wall Medical INC

NPI #1457430019 in Sandy, Utah

Provider Information

NPI Number: 1457430019
Entity Type: Organization
Organization Name: Wall Medical INC
Primary Specialty: Internal Medicine
Enumeration Date: Nov 3, 2006
Last Updated: Nov 9, 2010

Practice Location

Address: 8074 S 1300 E
City: Sandy
State: Utah
ZIP Code: 84094-0743
Phone: (801) 565-6500

Authorized Official

Name: MICHAEL J WALL, MD
Title: OWNER
Phone: (801) 294-6907

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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