TOR ERIK WILLIAM WALLSTROM

YUMA, AZ
NPI1700802964
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AZ  25545)
Enumeration Date2006-07-14
Last Update Date2012-02-10
Business Address
-- TOR ERIK WILLIAM WALLSTROM M.D.
1394 W 16TH ST
YUMA, AZ 85364-4430
Phone number: 928-539-0055
Mailing Address
-- TOR ERIK WILLIAM WALLSTROM M.D.
1394 W 16TH ST
YUMA, AZ 85364-4430
Phone number: 928-539-0055
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