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DR. CLARENCE R WALL M.D.
NPI 1215909197
Radiology - Diagnostic Radiology in Phoenix, AZ

Active since February 03, 2006
19829 N 27TH AVE, PHOENIX, AZ 85027(623) 879-5720 Get Directions Write a Review

NPPES record last updated: December 18, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Clarence R Wall M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CLARENCE R WALL M.D. (NPI 1215909197) is an individual diagnostic radiology provider in Phoenix, Arizona, licensed in Arizona (19342) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1215909197
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. CLARENCE R WALLCredential: M.D.
Location Address19829 N 27TH AVEPhoenix, AZ 85027-4001
Mailing AddressPo Box 27340Phoenix, AZ 85061-7340 · (602) 943-9200 · Fax (602) 216-3000
Phone(623) 879-5720
Sole ProprietorNo
Enumeration DateFebruary 3, 2006
Last NPPES UpdateDecember 18, 2013
✔ NPI 1215909197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in AZ · 19342
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
19829 N 27TH AVE, Phoenix, AZ 85027
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Other Names 1

Other Name (5)C. Robert Wall

Other Identifiers 5

Medicare ID-Type Unspecified73700
Medicaid411025AZ
Medicare UPINE28242
Medicare ID-Type Unspecified73701
Medicare ID-Type Unspecified62002

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICK S SCIARA MD
Hospitalist
19829 N 27TH AVE
PHOENIX, AZ 85027
Maricopa County (623) 879-1866
DR. ELI R ESTABAYA M.D.
Radiology (Diagnostic Radiology)
19829 N 27TH AVE
PHOENIX, AZ 85027
Maricopa County (623) 879-5720
AARON TRUONG MD
Hospitalist
19829 N 27TH AVE
PHOENIX, AZ 85027
Maricopa County (623) 879-6100
IRISH JEREZA CABRERA FNP-C
Nurse Practitioner
19829 N 27TH AVE
PHOENIX, AZ 85027
Maricopa County (623) 879-6100
DR. SHIRLEY A FISKE D.O.
Radiology (Diagnostic Radiology)
19829 N 27TH AVE
PHOENIX, AZ 85027
Maricopa County (623) 879-5720
DR. ESHAAN JATIN DAAS MD
Emergency Medicine
19829 N 27TH AVE
PHOENIX, AZ 85027
Maricopa County (623) 879-6100
LANCE EBERSON MD
Radiology (Diagnostic Radiology)
19829 N 27TH AVE
PHOENIX, AZ 85027
Maricopa County (623) 879-6100
DR. SHANNAN M MURPHY MD
Internal Medicine
19829 N 27TH AVE
PHOENIX, AZ 85027
Maricopa County (623) 879-1866

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clarence Wall's NPI number?

The NPI number for Clarence Wall is 1215909197. It was assigned to this individual provider in the NPPES registry on February 3, 2006. The provider is also known as C. Robert Wall.

Where is Clarence Wall located?

Clarence Wall practices at 19829 N 27th Ave, Phoenix, AZ 85027. The listed phone number is (623) 879-5720.

What is Clarence Wall's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Clarence Wall was last updated on December 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.