Tomi Lee Wall in Oakland - Dermatology

Tomi Lee Wall - NPI 1417947060

Tomi Lee Wall is a Dermatology in Oakland, California. Tomi Lee Wall practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Tomi Lee Wall is 1417947060. The last update date is 2007-07-11.

Tomi Lee Wall's current location address is 3300 Webster St Ste 1106, Oakland, California. You can contact this provider via phone number 5107632662. The mailing address for Tomi Lee Wall is 3300 Webster St Ste 1106, Oakland, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Tomi Lee Wall
Address 3300 Webster St Ste 1106, Oakland, California
Phone Number 5107632662
Fax Number
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1417947060
Provider Enumeration Date 2005-10-25
Last Updated Date 2007-07-11

Provider Mailing Address Detail

Address 3300 Webster St Ste 1106
City Oakland
State California (CA)
Post Code 946093125
Phone Number 5107632662
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No A97586
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
462225 MA TUFTS HEALTH PLAN
J29028 MA BCBS MA

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FAQs about Tomi Lee Wall

What is the Tomi Lee Wall's 1417947060?

The Tomi Lee Wall's NPI (National Provider Identifier) Number is 1417947060. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Tomi Lee Wall is geographically located?

The Tomi Lee Wall is physically situated at the following location: 3300 Webster St Ste 1106, Oakland, CA, 946093125.

What is Tomi Lee Wall's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Tomi Lee Wall is Dermatology, and the taxonomy code that classifies this field of practice is 207N00000X.

On what date did the Tomi Lee Wall receive its 1417947060 assignment from the Centers for Medicare & Medicaid Services?

The Tomi Lee Wall was assigned its 1417947060 by the Centers for Medicare & Medicaid Services on 2005-10-25.

When was the information pertaining to Tomi Lee Wall most recently updated or revised?

The details related to Tomi Lee Wall, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-11.

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