Individual
PHILIP DOUGLAS WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
711 HICKORY LOT RD, TOWSON, MD 21286-1428
(410) 823-8281
Mailing address
711 HICKORY LOT RD, TOWSON, MD 21286-1428
(410) 823-8281
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D17832
MD
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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