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NPI Code Detail

MEDICARE: DR. JOSEPH PATRICK WALLS MD

MEDICARE: DR. JOSEPH PATRICK WALLS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician6610NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154323277
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH PATRICK WALLS MD
Provider Business Mailing Address
First Line : 973 MICA DR
Second Line : STE 201
City : CARSON CITY
State : NV
Zip : 89705-7255
Country : US
Telephone Number : 775-783-6190
Fax Number : 775-783-6191
Provider Business Practice Location Address
First Line : 973 MICA DR
Second Line : STE 201
City : CARSON CITY
State : NV
Zip : 89705-7255
Country : US
Telephone Number : 775-783-6190
Fax Number : 775-783-6191
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 09/21/2012

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Directions to “ DR. JOSEPH PATRICK WALLS MD” Practice Location

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