Organization
NORMAN WALL D.O. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN WALL D.O. (PRESIDENT)
(797) 888-6155
Entity
Organization
Contact information
Practice address
40552 CHANTILLY CIR, TEMECULA, CA 92591-6967
(707) 888-6155
Mailing address
40552 CHANTILLY CIR, TEMECULA, CA 92591-6967
(707) 888-6155
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
20A7180
CA
Other
Enumeration date
01/02/2016
Last updated
01/02/2016
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