IndividualActive
Carl Wallis, MD
NPI 1396087623 · Orthopaedic Surgery Physician · Henderson, NV
Provider details
- NPI number
- 1396087623
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 18947 (NV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
10561 Jeffreys St Ste 230
Henderson, NV 89052-4268
Phone: (702) 565-6565
Fax: (702) 565-8898
Approximate (ZIP-level) locationGet directions
Mailing address
10561 Jeffreys St Ste 230
Henderson, NV 89052-4268
Registry dates
- Enumerated
- 2013-03-25
- Last updated
- 2019-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.