LARRY D WALLS MD PROF LLC

PUEBLO, CO
NPI1497912851
Entity TypeOrganization
Authorized ContactCAROLE J WALLS
Office Manager
719-564-0300
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CO  16515)
Enumeration Date2008-05-21
Last Update Date2008-10-31
Business Address
LARRY D WALLS MD PROF LLC
2001 LAKE AVE
PUEBLO, CO 81004-3538
Phone number: 719-564-0300
Mailing Address
LARRY D WALLS MD PROF LLC
2001 LAKE AVE
PUEBLO, CO 81004-3538
Phone number: 719-564-0300
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