Timothy Wall

Internal Medicine Physician · Travis Afb, CA

Individual Active NPI

NPI number 1659870939

Practice location

101 Bodin Cir
Travis Afb, CA 94535-1809
Phone
(707) 423-3000

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NPI record

NPI
1659870939
Entity type
Individual (Type 1)
Enumeration date
February 1, 2018
Last updated
September 30, 2024
Certified
September 30, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Internal Medicine Physician Primary 207R00000X A182748 CA
Hospitalist Physician 208M00000X A182748 CA
Student in an Organized Health Care Education/Training Program 390200000X — —

Other practice locations (1)

  • 2700 Grant St Ste 200, Concord, CA 94520-2270 · (925) 947-3393

About Timothy Wall

Timothy Wall is a healthcare provider registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 101 Bodin Cir, Travis Afb, CA 94535-1809. The NPI number 1659870939 was assigned on February 1, 2018 and the record was last updated on September 30, 2024.

Timothy Wall lists 2 licenses in the registry: #A182748 (CA) for Internal Medicine Physician; #A182748 (CA) for Hospitalist Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Timothy Wall?

The NPI number is 1659870939.

What is the phone number of Timothy Wall?

The phone number listed for the practice location is (707) 423-3000.

Where is Timothy Wall located?

101 Bodin Cir, Travis Afb, CA 94535-1809.

What is the taxonomy code for Timothy Wall?

The primary taxonomy code is 207R00000X – Internal Medicine Physician; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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