Individual
DR. TIMOTHY BERNARD WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 388-3221
Mailing address
PO BOX 20452, COLUMBUS, OH 43220-0452
(614) 442-2406
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101263156
VA
Other
Enumeration date
06/22/2011
Last updated
07/21/2022
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