Individual
MR. JOHN A. WALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
137 HOWARD ST, EAGLE, CO 81631
(970) 328-6969
(970) 328-6329
Mailing address
PO BOX 40, GLENWOOD SPRINGS, CO 81602-0040
(970) 945-2241
(970) 945-5523
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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