Individual
CARL BRADLEY WALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10561 JEFFREYS ST STE 230, HENDERSON, NV 89052-4268
(702) 565-6565
(702) 565-8898
Mailing address
10561 JEFFREYS ST STE 230, HENDERSON, NV 89052-4268
(702) 565-6565
(702) 565-8898
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
18947
NV
Other
Enumeration date
03/25/2013
Last updated
06/27/2019
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