ROBERT ALAN WALES MD FACC NPI 1003820275

NPI Information

NPI: 1003820275
Provider Name: ROBERT ALAN WALES, MD, FACC
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
2315 8TH ST GRADE
LEWISTON, ID
ZIP 83501
Phone: (509) 455-8820
Get Directions

Robert Alan Wales, MD, FACC is a cardiovascular disease internal medicine in Lewiston, ID. The provider is 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. Robert Alan Wales, MD, FACC NPI is 1003820275. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2315 8TH ST GRADE
LEWISTON, ID
ZIP 83501-301
Phone: (509) 455-8820
Fax: (509) 227-7070

The enumeration date for this NPI number is 7/27/2006 and was last updated on 3/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	MD00040353	WASHINGTON	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	M-8366	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	806097900	MEDICAID	IDAHO
2	8283913	MEDICAID	WASHINGTON
3	060064955	OTHER	WASHINGTON	RRB

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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