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Alan Dale Wamboldt, MD
Specialist in Mesa, Arizona
NPI 1558305540

Alan Dale Wamboldt is a Specialist based in Mesa, AZ. Alan Dale Wamboldt practices in Mesa, AZ and has the professional credentials of MD. The NPI Number for Alan Dale Wamboldt is 1558305540 and holds a License No. 17046 (Arizona).

The current practice location address for Alan Dale Wamboldt is 7525 E Broadway Rd, Mesa, AZ and can be reached out via phone at 480-832-2097 and via fax at 480-832-0530.

Location: 7525 E Broadway Rd, Mesa, AZ, 85208-2002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558305540
Provider Name
Alan Dale Wamboldt
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7525 E Broadway Rd, Mesa, AZ, 85208-2002
Phone Number
480-832-2097
Fax Number
480-832-0530
Provider Enumeration Date
06/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
7525 E Broadway Rd
City
Mesa
State
Arizona
Zip
85208-2002
Phone Number
480-832-2097
Fax Number
480-832-0530
person
Provider Business Mailing Address Details
Address
7525 E Broadway Rd
City
Mesa
State
Arizona
Zip
85208-2002
Phone Number
480-832-2097
Fax Number
480-832-0530
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
17046 (Arizona)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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