| Wall Medical Inc | |
|
8074 S 1300 E Sandy UT 84094-0743 | |
| (801) 565-6500 | |
| Not Available |
| Full Name | Wall Medical Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8074 S 1300 E, Sandy, Utah |
| Authorized Official Name and Position | Michael J Wall (OWNER) |
| Authorized Official Contact | 8012946907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wall Medical Inc Po Box 307 Bountiful UT 84011-0307 Ph: (801) 294-6907 | Wall Medical Inc 8074 S 1300 E Sandy UT 84094-0743 Ph: (801) 565-6500 |
| NPI Number | 1457430019 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 11/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457430019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 180274-1205 (Utah) | Primary |
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