Individual
RICHARD J WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4011 TALBOT RD S, STE 460, RENTON, WA 98055-5773
(425) 251-5110
(425) 793-7382
Mailing address
PO BOX 50010, RENTON, WA 98058-5010
(425) 228-3440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00042456
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD00042456
WA
207RP1001X
Pulmonary Disease Physician
Primary
MD00042456
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0217509
L&I
WA
05
—
104443
—
WA
01
—
4033WA
REGENCE
WA
05
—
8472995
—
WA
01
—
P00601617
MED RAILROAD
WA
Enumeration date
12/28/2006
Last updated
08/14/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us