Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILLY MARIE WALL, P.A.
ActivePHILLY MARIE WALL, P.A. is a Physician Assistant healthcare provider located in CEDAR RAPIDS, Iowa. NPI 1497894117 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CEDAR RAPIDS, IA
Registration Details
- NPI Number
- 1497894117
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 6, 2007 (19.507867208972 yrs)
- Last Updated
- Nov 18, 2021
- License
-
001778 (IA)
Practice Information
- Address
-
830 4TH AVE SE STE 1CEDAR RAPIDS, IA, 524032445Browse IA providers · Browse ZIP 52403
- Phone
- 4026506765
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in CEDAR RAPIDS, IA
| Name | Credential | NPI |
|---|---|---|
| HEIDI LYNN BARNHART | PA C | 1578559290 |
| E KEITH ALLEN | PAC | 1619953270 |
| SUZANNE R BAXTER | PA-C | 1518943422 |
| MRS. BARBARA A CREE | PAC | 1467423111 |
| KEVIN J LOHMEYER | PAC | 1578539367 |
| ALICIA K QUELLA | PAC | 1811963614 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.