Organization
LARRY D WALLS MD PROF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLE J WALLS (OFFICE MANAGER)
(719) 564-0300
Entity
Organization
Contact information
Practice address
2001 LAKE AVE, PUEBLO, CO 81004-3538
(719) 564-0300
(719) 564-0303
Mailing address
2001 LAKE AVE, PUEBLO, CO 81004-3538
(719) 564-0300
(719) 564-0303
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16515
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80076807
—
CO
Enumeration date
05/21/2008
Last updated
10/31/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up