Individual provider · Type 1 NPI

Trevor G. Wall, PA-C

Surgical Physician Assistant · Durango, CO

NPI number 1366871972 Active

Practice location

1 Mercado St, Ste 202
Durango, CO 81301-7306

Call (970) 247-5362 Map

Fax (970) 259-6045

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA2013-0074 (NM)
Surgical Physician Assistant Primary 363AS0400XPA.0003986 (CO)

Surgical Physician Assistant: Definition to come...

67 other providers at this address

Other surgical physician assistant providers in Durango

See all in Durango →

About NPI 1366871972

Trevor G. Wall, PA-C's National Provider Identifier is 1366871972, issued on Nov 4, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Durango, CO. The record was last updated on Feb 9, 2026.