Individual provider · Type 1 NPI

Anastacia L. Wall, PA

Medical Physician Assistant · Aurora, CO

NPI number 1861660078 Active

Practice location

12605 E 16th Ave
Aurora, CO 80045-2545

Call (720) 848-0000 Map

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA10005372 (WA)
Medical Physician Assistant 363AM0700XPA0003785 (CO)
Medical Physician Assistant Primary 363AM0700XPA.0003785 (CO)

Medical Physician Assistant: Definition to come...

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About NPI 1861660078

Anastacia L. Wall, PA's National Provider Identifier is 1861660078, issued on Feb 11, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Aurora, CO. The record was last updated on Oct 19, 2018.