Individual
DR. ROD ALAN WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1123 FRANKLIN ST, JOHNSTOWN, PA 15905-4309
(814) 539-5340
Mailing address
2210 SPEAR AVE, JOHNSTOWN, PA 15905-1646
(814) 539-5340
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD017369E
PA
207RC0000X
Cardiovascular Disease Physician
Primary
MD017369E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006455980002
—
PA
Enumeration date
07/11/2006
Last updated
09/11/2025
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