Doctor Name: | ROBERT ALAN WALES |
NPI Number: | 1003820275 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD, FACC |
License Number: | M-8366 |
Business Practice Address: | 700 W Ironwood Dr 214 Coeur D Alene, ID - 838142656 |
Business Phone Number: | 2082921600 |
Business Fax Number: | 2082921610 |
Mailing Address: | 910 W 5th Ave, 300 SPOKANE |
State: | WA |
Postal Code: | 992042966 |
Phone Number: | 5094558820 |
Fax Number: | 5098384978 |
NPI Enumeration Date: | 07/27/2006 |
NPI Last Update Date: | 10/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | M-8366 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |