Wahl, Richard Alan
Wahl, Richard Alan is an individual health care provider with primary practice located at 535 N Wilmot Rd Suite #101, Tucson AZ 85711. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Wahl, Richard Alan can be contacted via phone (520) 694-9988.Contact Information
Primary practice address
535 N Wilmot Rd Suite #101
Tucson AZ 85711
Phone: (520) 694-9988
Fax: (520) 694-9917
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 15421 | Arizona |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 15421 | Arizona |
Profile Details
| NPI number | 1134293061 |
|---|---|
| LBN Legal business name | Wahl, Richard Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 2006 |
| Last updated | May 22nd, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134293061 | NPPES |
| Arizona | MEDICAID | 268450 |
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