Dr Gary Vincent Wall, | |
535 W 9th St, Corona, CA 92882-3218 | |
(951) 737-1252 | |
Not Available |
Full Name | Dr Gary Vincent Wall |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 535 W 9th St, Corona, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205868569 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC13704 (California) | Primary |
Mailing Address | Practice Location Address |
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Dr Gary Vincent Wall, 13380 Placid Hill Dr, Corona, CA 92883-8926 Ph: (951) 737-1252 | Dr Gary Vincent Wall, 535 W 9th St, Corona, CA 92882-3218 Ph: (951) 737-1252 |
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