Individual
DR. BROOKE MELISSA WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
332 W MAIN ST UNIT 101, ASPEN, CO 81611-1614
(970) 920-0067
Mailing address
7300 RANCH ROAD 2222, BUILDING 1, STE 200, AUSTIN, TX 78730
(512) 628-0465
(512) 233-2711
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
DR.0060516
CO
207ND0101X
MOHS-Micrographic Surgery Physician
DR.0060516
CO
Other
Enumeration date
10/06/2009
Last updated
02/24/2023
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