Individual
DR. EMERSON BERTRAM WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1300 N FRESNO ST, FRESNO, CA 93703-3845
(559) 495-6758
(559) 495-6784
Mailing address
1300 N FRESNO ST, FRESNO, CA 93703-3845
(559) 495-6758
(559) 495-6784
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20A5923
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A5923
DO LICENSE
CA
Enumeration date
03/07/2007
Last updated
06/24/2011
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