Organization
TOMI LEE WALL MD PC
Active
Organization
TOMI LEE WALL MD PC
Active
Other names
Tomi L.Wall
Organization subpart
No
Provider details
NPI number
Authorized official
TOMI LEE WALL MD (CEO)
(925) 348-4366
Entity
Organization
Contact information
Practice address
3300 WEBSTER ST STE 1106, OAKLAND, CA 94609-3125
(510) 763-2662
Mailing address
3300 WEBSTER ST STE 1106, OAKLAND, CA 94609-3125
(510) 763-2662
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417947060
NPI - TYPE I
CA
Enumeration date
02/02/2023
Last updated
02/02/2023
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