Individual
DANIEL J WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3860 BLACKHAWK RD STE 140, DANVILLE, CA 94506-4832
(925) 837-6000
Mailing address
3860 BLACKHAWK RD STE 140, DANVILLE, CA 94506-4832
(925) 837-6000
(925) 837-6011
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A74764
CA
Other
Enumeration date
09/21/2005
Last updated
08/07/2024
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