Individual
CHRIS WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 LOCUST ST, RENO, NV 89502-2597
(775) 328-1763
Mailing address
1695 GREEN ASH RD, RENO, NV 89511-2701
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G-48536
CA
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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