Individual
DR. PHILIP HAROLD WALLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 583-6067
(999) 777-3291
Mailing address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 583-6067
(999) 777-3291
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G18738
NV
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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