RICHARD DAVID WALLIS

DENVER, CO
NPI1336425982
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CO  APN.0992126-NP)
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  1866)
Enumeration Date2011-10-27
Last Update Date2021-03-02
Business Address
RICHARD DAVID WALLIS PMHNP
777 BANNOCK ST
DENVER, CO 80204-4597
Phone number: 303-436-6000
Mailing Address
RICHARD DAVID WALLIS PMHNP
155 INVERNESS DR W
ENGLEWOOD, CO 80112-5095
Phone number: 303-730-8858