Individual
DR. STEPHEN LEE WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4860 Y ST STE 200, SACRAMENTO, CA 95817-2307
(916) 734-8394
Mailing address
4860 Y ST STE 200, SACRAMENTO, CA 95817-2307
(916) 734-8394
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A144796
CA
Other
Enumeration date
03/25/2015
Last updated
10/18/2018
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