Most Relevant Information
Provider Data
| NPI Number: | 1003820275 |
| Provider Name: | ROBERT ALAN WALES MD, FACC |
| Entity Type: | Individual |
| Taxonomy Code: | 207RC0000X |
| Specialty: | Internal Medicine |
| License Number: | M-8366 |
Most Important Dates
| Enumeration Date: | 07/27/2006 |
| Last Updated: | 03/01/2021 |
Provider Practice Location
2315 8TH ST GRADE
LEWISTON
ID
835017301
Practice Location Phone/Fax
| Phone: | 5094558820 |
| Fax: | 5092277070 |
Provider Mailing Location
PO BOX 331
LIBERTY LAKE
WA
990190331
Provider Mailing Phone/Fax
| Phone: | 5097472455 |
| Fax: | 5092277070 |
Suggested EMR
Internist EMR