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Bryan T Wall, MD
Adult Reconstructive Orthopedic Surgery Physician in Phoenix, Arizona
NPI 1790712792

Bryan T Wall is an Adult Reconstructive Orthopedic Surgery Physician based in Phoenix, AZ and is specialized in Adult Reconstructive Orthopedic Surgery. Bryan T Wall practices in Phoenix, AZ and has the professional credentials of MD. The NPI Number for Bryan T Wall is 1790712792 and holds a License No. 36177 (Arizona).

The current practice location address for Bryan T Wall is 18444 N 25Th Ave, Phoenix, AZ and can be reached out via phone at 623-537-5600 and via fax at 866-939-2673.

Location: 18444 N 25Th Ave, Phoenix, AZ, 85023-1266
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Provider Profile Details
NPI Number
1790712792
Provider Name
Bryan T Wall
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
18444 N 25Th Ave, Phoenix, AZ, 85023-1266
Phone Number
623-537-5600
Fax Number
866-939-2673
Provider Enumeration Date
06/26/2006
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5550830006 01 AZ MEDICARE NSC ANTHEM
5550830008 01 AZ MEDICARE NSC SWV
5550830009 01 AZ MEDICARE NSC AZ NORTH
5550830007 01 AZ MEDICARE NSC DV
5550830010 01 AZ MEDICARE NSC GILBERT
P00618125 01 AZ RR MEDICARE
5550830003 01 AZ MEDICARE NSC PEORIA
159666 05 AZ
5550830001 01 AZ MEDICARE NSC SCW
5550830004 01 AZ MEDICARE NSC PV
institution
Provider Business Practice Location Address Details
Address
18444 N 25Th Ave
City
State
Zip
85023-1264
Phone Number
623-537-5600
Fax Number
866-939-2673
person
Provider Business Mailing Address Details
Address
18444 N 25Th Ave
City
State
Zip
85023-1264
Phone Number
623-537-5600
Fax Number
866-939-2673
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
License No.
36177 (Arizona)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Adult Reconstructive Orthopedic Surgery
Taxonomy
License No.
36177 (Arizona)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, adult reconstructive orthopedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
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