Individual provider · Type 1 NPI

Deanna M. Wall, PA

Medical Physician Assistant · Boston, MA

NPI number 1114963022 Active

Practice location

75 Francis St
Boston, MA 02115-6110

Call (617) 732-5500 Map

Other practice locations

  • 41 Sanderson Rd, Suite 201, Smithfield, RI 02917-2602 · (401) 349-0366
  • 455 Toll Gate Rd, Warwick, RI 02886-2759 · (401) 681-4996

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA00511 (RI)
Medical Physician Assistant 363AM0700XPA00511 (RI)
Medical Physician Assistant Primary 363AM0700XPA7360 (MA)

Medical Physician Assistant: Definition to come...

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About NPI 1114963022

Deanna M. Wall, PA's National Provider Identifier is 1114963022, issued on Jun 20, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boston, MA. The record was last updated on Apr 4, 2024.