| Norman Wall D.o. Inc. | |
|
40552 Chantilly Cir Temecula CA 92591-6967 | |
| (707) 888-6155 | |
| Not Available |
| Full Name | Norman Wall D.o. Inc. |
|---|---|
| Speciality | General Practice |
| Location | 40552 Chantilly Cir, Temecula, California |
| Authorized Official Name and Position | Norman Wall (PRESIDENT) |
| Authorized Official Contact | 7978886155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Norman Wall D.o. Inc. 40552 Chantilly Cir Temecula CA 92591-6967 Ph: (707) 888-6155 | Norman Wall D.o. Inc. 40552 Chantilly Cir Temecula CA 92591-6967 Ph: (707) 888-6155 |
| NPI Number | 1073979340 |
|---|---|
| Provider Enumeration Date | 01/02/2016 |
| Last Update Date | 01/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073979340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 20A7180 (California) | Primary |
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