Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NATHAN RANDALL WALL, D.C.
ActivePediatric Chiropractor · DRAPER, UT
Registration Details
- NPI Number
- 1578810123
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 13, 2012 (13.688588334708 yrs)
- Last Updated
- Apr 4, 2018
- License
-
6145802-1202 (UT)
Practice Information
- Address
-
12197 S DRAPER GATE DRDRAPER, UT, 840208078Browse UT providers · Browse ZIP 84020
- Phone
- 8015900600
- Fax
- 8015900643
- Primary Specialty
-
Pediatric Chiropractor
111NP0017X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.