Individual provider · Type 1 NPI

Clarence R. Wall, MD

Diagnostic Radiology Physician · Phoenix, AZ

NPI number 1215909197 Active

Practice location

19829 N 27th Ave
Phoenix, AZ 85027-4001

Mailing address

PO Box 27340
Phoenix, AZ 85061-7340

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X19342 (AZ)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1215909197

Clarence R. Wall, MD's National Provider Identifier is 1215909197, issued on Feb 3, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Phoenix, AZ. The record was last updated on Dec 18, 2013.