Individual provider · Type 1 NPI

Philly Marie Wall, P.A.

Physician Assistant · Cedar Rapids, IA

NPI number 1497894117 Active

Practice location

830 4th Ave SE Ste 1
Cedar Rapids, IA 52403-2445

Call (319) 363-8121 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X001778 (IA)

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 1497894117

Philly Marie Wall, P.A.'s National Provider Identifier is 1497894117, issued on Feb 6, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Cedar Rapids, IA. The record was last updated on Jun 23, 2026.