Individual
MR. RICHARD ALAN WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
535 N WILMOT RD, SUITE #101, TUCSON, AZ 85711
(520) 694-9988
(520) 694-9917
Mailing address
2701 E ELVIRA RD, TUCSON, AZ 85756-7124
(520) 626-0923
(520) 626-2808
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
15421
AZ
2080A0000X
Pediatric Adolescent Medicine Physician
15421
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268450
—
AZ
Enumeration date
11/20/2006
Last updated
05/22/2013
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