Individual provider · Type 1 NPI

Charles Earl Wall Jr., PA-C

Physician Assistant · Fayetteville, AR

NPI number 1013178128 Active

Practice location

1100 N College Ave
Fayetteville, AR 72703-1944

Call (479) 443-4301 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1143 (MN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1013178128

Charles Earl Wall Jr., PA-C's National Provider Identifier is 1013178128, issued on Jun 20, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fayetteville, AR. The record was last updated on Mar 7, 2023.