Individual
BRUCE WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 ACKERMAN RD STE 580, COLUMBUS, OH 43202-1589
(614) 742-7476
Mailing address
700 ACKERMAN RD STE 580, COLUMBUS, OH 43202-1589
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
35.041286
OH
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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