Individual
DR. DAVID V WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
11642
WA
208800000X
Urology Physician
Primary
MD11642
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11642
MEDICAL LICENSE
WA
05
—
1193309
—
WA
01
—
A55329G
MEDICARE ID-PIN
WA
Enumeration date
07/12/2006
Last updated
06/14/2011
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