Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRYAN T WALL, MD
ActiveBRYAN T WALL, MD is a Sports Medicine (Orthopaedic) healthcare provider located in PHOENIX, Arizona. NPI 1790712792 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · PHOENIX, AZ
Registration Details
- NPI Number
- 1790712792
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 26, 2006 (20.14779813448 yrs)
- Last Updated
- Apr 23, 2024
- Licenses
-
36177 (AZ)36177 (AZ)
Practice Information
- Address
-
18444 N 25TH AVESTE 210PHOENIX, AZ, 850231264Browse AZ providers · Browse ZIP 85023
- Phone
- 6235375600
- Fax
- 8669392673
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XS0114X
- Additional Specialty
- Sports Medicine (Orthopaedic)
Other Sports Medicine (Orthopaedic) Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| SCOTT WILLIAM SIVERHUS | MD | 1336121102 |
| DR. KISHORE TIPIRNENI | M.D. | 1033184486 |
| DR. MARC J ROSEN | M.D. | 1194790188 |
| ALEX C MCLAREN | MD | 1154388981 |
| DR. JASON JAMES SCALISE | MD | 1073681367 |
| DR. LIGE M KAPLAN | MD | 1780894949 |
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.