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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LARRY D WALLS MD PROF LLC

Active Organization

LARRY D WALLS MD PROF LLC is a Internal Medicine organization located in PUEBLO, Colorado. NPI 1497912851 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · PUEBLO, CO

Registration Details

NPI Number
1497912851
Provider Type
Organization
NPI Issued
May 21, 2008 (18.247721132023 yrs)
Last Updated
Oct 31, 2008
License
16515 (CO)

Practice Information

Address
2001 LAKE AVE
PUEBLO, CO, 810043538
Browse CO providers · Browse ZIP 81004
Phone
7195640300
Fax
7195640303
Primary Specialty
Internal Medicine
207R00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.