Individual
DR. ALLAN CHRISTOPHER WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
42030 HIGHWAY 195, HALEYVILLE, AL 35565-7054
(999) 999-9999
Mailing address
PO BOX 697, HALEYVILLE, AL 35565-0697
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
14707
SC
208600000X
Surgery Physician
Primary
17151
AL
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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