Organization
ALAN D WAMBOLDT MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN D WAMBOLDT MD (PRESIDENT)
(480) 832-2097
Entity
Organization
Contact information
Practice address
7525 E BROADWAY RD, SUITE 3, MESA, AZ 85208-2002
(480) 832-2097
Mailing address
7525 E BROADWAY RD, SUITE 3, MESA, AZ 85208-2002
(480) 832-2097
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
11/26/2007
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