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Dr. Clarence R Wall, MD
Diagnostic Radiology Physician in Phoenix, Arizona
NPI 1215909197

Clarence R Wall is a Diagnostic Radiology Physician based in Phoenix, AZ and is specialized in Diagnostic Radiology. Clarence R Wall practices in Phoenix, AZ and has the professional credentials of MD. The NPI Number for Clarence R Wall is 1215909197 and holds a License No. 19342 (Arizona).

The current practice location address for Clarence R Wall is 19829 N 27Th Ave, Phoenix, AZ and can be reached out via phone at 623-879-5720.

Location: 19829 N 27Th Ave, Phoenix, AZ, 85061-7340
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Provider Profile Details
NPI Number
1215909197
Provider Name
Clarence R Wall
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
19829 N 27Th Ave, Phoenix, AZ, 85061-7340
Phone Number
623-879-5720
Fax Number
Provider Enumeration Date
02/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
411025 05 AZ
institution
Provider Business Practice Location Address Details
Address
19829 N 27Th Ave
City
State
Zip
85027-4001
Phone Number
623-879-5720
Fax Number
person
Provider Business Mailing Address Details
Address
19829 N 27Th Ave
City
State
Zip
85027-4001
Phone Number
623-879-5720
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
19342 (Arizona)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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