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1215909197
CLARENCE R WALL
PHOENIX, AZ
NPI
1215909197
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Other Name
C. ROBERT WALL
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: AZ 19342)
Enumeration Date
2006-02-03
Last Update Date
2013-12-18
Business Address
Dr. CLARENCE R WALL M.D.
19829 N 27TH AVE
PHOENIX, AZ 85027-4001
Phone number: 623-879-5720
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Mailing Address
Dr. CLARENCE R WALL M.D.
PO BOX 27340
PHOENIX, AZ 85061-7340
Phone number: 602-943-9200
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