CLINTON WALLS

PIERRE, SD
NPI1811376411
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  ME134419)
Additional Taxonomies207Q00000X Family Medicine
(Licence: GA  076987)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: FL  21875)
Enumeration Date2015-05-28
Last Update Date2022-10-18
Business Address
Dr. CLINTON WALLS M.D.
801 E SIOUX AVE
PIERRE, SD 57501-3323
Phone number: 605-224-3100
Mailing Address
Dr. CLINTON WALLS M.D.
7466 RIPETTA ST
SARASOTA, FL 34240-4706
Phone number: 239-677-0555