Individual
RICHARD CARL WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4301 MOW-WAY ROAD, REYNOLDS ARMY COMMUNITY HOSPITAL ATTN RUBY D PRESCOTT, FORT SILL, OK 73503-6300
(580) 458-2134
(580) 458-2314
Mailing address
4301 MOW-WAY ROAD, REYNOLDS ARMY COMMUNITY HOSPITAL ATTN RUBY D PRESCOTT, FORT SILL, OK 73503-6300
(580) 458-2134
(580) 458-2314
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
23415
CO
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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