IndividualActive
Larry Walls, MD
NPI 1124086426 · Internal Medicine Physician · Pueblo, CO
Provider details
- NPI number
- 1124086426
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 16515 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1600 N Grand Avenue
Suite 150
Pueblo, CO 81003-2755
Phone: (719) 595-7700
Fax: (719) 595-7719
Street-level locationGet directions
Mailing address
1600 N Grand Avenue
Pueblo, CO 81003-2755
Registry dates
- Enumerated
- 2006-05-03
- Last updated
- 2012-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.