Larry D Walls Md Prof Llc in Pueblo - Internal Medicine

Larry D Walls Md Prof Llc - NPI 1497912851

Larry D Walls Md Prof Llc is a Internal Medicine in Pueblo, Colorado. Larry D Walls Md Prof Llc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Larry D Walls Md Prof Llc is 1497912851. The last update date is 2008-10-31.

Larry D Walls Md Prof Llc's current location address is 2001 Lake Ave, Pueblo, Colorado. You can contact this provider via phone number 7195640300 and fax number 7195640303. The mailing address for Larry D Walls Md Prof Llc is 2001 Lake Ave, Pueblo, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Organization Larry D Walls Md Prof Llc
Address 2001 Lake Ave, Pueblo, Colorado
Phone Number 7195640300
Fax Number 7195640303
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Walls J Carole
Telephone Number 7195640300

NPI Number Detail

NPI Number 1497912851
Provider Enumeration Date 2008-05-21
Last Updated Date 2008-10-31

Provider Mailing Address Detail

Address 2001 Lake Ave
City Pueblo
State Colorado (CO)
Post Code 810043538
Phone Number 7195640300
Fax Number 7195640303

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 16515
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
80076807 CO --

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FAQs about Larry D Walls Md Prof Llc

What is the unique 10-digit identifier code assigned to Larry D Walls Md Prof Llc by the Centers for Medicare & Medicaid Services?

The Larry D Walls Md Prof Llc has been issued the NPI (National Provider Identifier) 1497912851 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Larry D Walls Md Prof Llc is physically located?

The Larry D Walls Md Prof Llc is physically situated at the following address: 2001 Lake Ave, Pueblo, CO, 810043538.

What is Larry D Walls Md Prof Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Larry D Walls Md Prof Llc is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.

On what date was the 1497912851 assigned to Larry D Walls Md Prof Llc?

The Larry D Walls Md Prof Llc was issued its 1497912851 on 2008-05-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Larry D Walls Md Prof Llc most recently updated or refreshed?

The details pertaining to the Larry D Walls Md Prof Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-10-31.

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