Peter G. Wall is a Internal Medicine in Pasadena, California. Peter G. Wall practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Peter G. Wall is 1376602979. The last update date is 2007-07-08.
Peter G. Wall's current location address is 393 E Walnut St, Pasadena, California. You can contact this provider via phone number 6264053640 and fax number 6264056768. The mailing address for Peter G. Wall is 393 E Walnut St, Pasadena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter G. Wall |
|---|---|
| Address | 393 E Walnut St, Pasadena, California |
| Phone Number | 6264053640 |
| Fax Number | 6264056768 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1376602979 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 393 E Walnut St |
|---|---|
| City | Pasadena |
| State | California (CA) |
| Post Code | 911880001 |
| Phone Number | 6264053640 |
| Fax Number | 6264056768 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | G31639 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G316390 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Peter G. Wall by the Centers for Medicare & Medicaid Services?
The Peter G. Wall has been issued the NPI (National Provider Identifier) 1376602979 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Peter G. Wall's facilities are geographically located?
The facilities of Peter G. Wall are physically situated at the following location: 393 E Walnut St, Pasadena, CA, 911880001.
What is Peter G. Wall's specialized field of practice, and what is the corresponding taxonomy classification code?
The Peter G. Wall's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
On what date was the 1376602979 assigned to Peter G. Wall?
The Peter G. Wall was issued its 1376602979 on 2006-12-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Peter G. Wall most recently updated or revised?
The information pertaining to Peter G. Wall, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.