Individual
DR. JOHN B WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5770 S 250 E, SUITE 290, MURRAY, UT 84107-8100
(801) 747-8700
(801) 747-8701
Mailing address
5770 S 250 E, SUITE 290, MURRAY, UT 84107-8100
(801) 747-8700
(801) 747-8701
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
327834-1205
UT
Other
Enumeration date
11/21/2005
Last updated
05/26/2010
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