Individual
DR. ROBERT E. WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2055 HIGH ST, SUITE 140, DENVER, CO 80205-5503
(303) 322-2240
(303) 322-9260
Mailing address
4900 S MONACO ST STE 210, DENVER, CO 80237-3487
(303) 322-2240
(303) 322-9260
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20319
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01203199
—
CO
Enumeration date
10/14/2005
Last updated
06/22/2016
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