Individual
DR. SHARLA KAYE WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
701 2ND AVE NE, INDEPENDENCE, IA 50644
(319) 334-6782
(319) 334-4579
Mailing address
701 2ND AVE NE, INDEPENDENCE, IA 50644
(319) 334-6782
(319) 334-4579
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A5721
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1105130
—
IA
01
—
13656
BCBS
IA
Enumeration date
04/07/2006
Last updated
11/03/2010
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