Individual
JAMES K WALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 WEST FERN AVE, REDLANDS, CA 92373-5916
(909) 793-3311
(909) 796-4158
Mailing address
PO BOX 2200, REDLANDS, CA 92373-0722
(909) 793-3311
(909) 796-4158
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G64273
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G642730
—
CA
Enumeration date
06/07/2006
Last updated
12/17/2007
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