Organization
DANIEL J. WALL M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL WALL M.D. (OWNER/PHYSICIAN)
(925) 952-9003
Entity
Organization
Contact information
Practice address
110 LA CASA VIA, SUITE 205, WALNUT CREEK, CA 94598-3088
(925) 952-9003
Mailing address
110 LA CASA VIA, SUITE 205, WALNUT CREEK, CA 94598-3088
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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