Richard Wall, CPO
NPI #1508058991 in Bellevue, Washington
Provider Information
- NPI Number
- 1508058991
- Entity Type
- Individual
- Name
- Richard Wall, CPO
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Prosthetist
- Credential
- CPO
- Enumeration Date
- Aug 9, 2007
- Last Updated
- Sep 25, 2009
Practice Location
- Address
- 1900 116TH AVE NE
- Address 2
- SUITE 210
- City
- Bellevue
- State
- Washington
- ZIP Code
- 98004-3052
- Phone
- (425) 451-8831
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthotist |
| Prosthetist |
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