Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alan Dale Wamboldt, MD

Individual provider Specialist · NPI 1558305540

Alan Dale Wamboldt, MD is a Specialist in Mesa, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7525 E Broadway Rd Ste 3
Mesa, AZ 85208-2002
Phone: (480) 832-2097
Fax: (480) 832-0530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 17046 (AZ)

Record details

NPI number1558305540
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 16, 2006
Last updated in NPPESJanuary 16, 2008

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