Individual
DR. NANCY WALLS VAN SPEYBROECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2280 HARRISON AVE, SUITE B, EUREKA, CA 95501-3200
(707) 443-9371
Mailing address
2280 HARRISON AVE, SUITE B, EUREKA, CA 95501-3200
(707) 443-9371
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
G28255
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G282550
—
CA
Enumeration date
09/14/2006
Last updated
06/22/2010
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