Mr. Richard Alan Wahl
Pediatrician Adolescent Medicine
535 N Wilmot Rd Suite #101
Tucson
, Arizona 85711
Mr. Richard Alan Wahl
Pediatrician Adolescent Medicine
535 N Wilmot Rd Suite #101
Tucson
, Arizona 85711
(520) 626-2808
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About
Features
Specialties
- Pediatrician
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Mr. Richard Alan Wahl
- 2701 E Elvira Rd
- Tucson, AZ
- Zip : 85756-7124
- Fax : (520) 626-2808
- Phone : (520) 626-0923
Second Address
- Mr. Richard Alan Wahl
- 535 N Wilmot Rd Suite #101
- Tucson, AZ
- Zip : 85711
- Fax : (520) 694-9917
- Phone : (520) 694-9988
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 15421 | AZ |
| N | 2080A0000X | Adolescent Medicine | 15421 | AZ |
National Provider Identifier
| NPI | 1134293061 |
|---|---|
| Provider Name | Mr. Richard Alan Wahl |
| First Address | Tucson, AZ 85756-7124 |
| Second Address | Tucson, AZ 85711 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/11/2006 |
| Last Update Date | 22/05/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 268450 | (05) | AZ |
| D44604 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.