NPI 1427610435

Gary Wall, CPO

Practitioner Prosthetist Apex, NC

Practice location

Address: 1031 W Williams St STE 104, Apex, NC 27502-3955
Phone: (919) 267-5284
Fax: (888) 635-6138
Mailing address: 3708 Forestview Rd STE 105, Raleigh, NC 27612-2391

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence CPO04318

Other Prosthetist providers in North Carolina →

Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence CPO04318

Other Orthotist providers in North Carolina →

Registry record

NPI: 1427610435
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jul 2019
Record last updated: 1 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.