Individual provider · Type 1 NPI

Pamela Wall, PA

Medical Physician Assistant · Indianapolis, IN

NPI number 1417239591 Active

Practice location

931 E 86th St, Suite 104
Indianapolis, IN 46240-1860

Fax (317) 257-1488

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X10000381A (IN)

Medical Physician Assistant: Definition to come...

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About NPI 1417239591

Pamela Wall, PA's National Provider Identifier is 1417239591, issued on Sep 14, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 15, 2014.