Individual
DR. DAVID M WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
35095838
OH
207V00000X
Obstetrics & Gynecology Physician
51418121205
UT
208D00000X
General Practice Physician
Primary
35095838
OH
208D00000X
General Practice Physician
51418121205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12170374
CAQH
UT
Enumeration date
08/12/2010
Last updated
07/16/2024
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