Philly Marie Wall in Cedar Rapids - Physician Assistant
Philly Marie Wall - NPI 1497894117
Philly Marie Wall is a Physician Assistant in Cedar Rapids, Iowa. Philly Marie Wall practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Philly Marie Wall is 1497894117. The last update date is 2021-11-18.
Philly Marie Wall's current location address is 830 4th Ave Se Ste 1, Cedar Rapids, Iowa. You can contact this provider via phone number 4026506765. The mailing address for Philly Marie Wall is 830 4th Ave Se Ste 1, Cedar Rapids, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Philly Marie Wall |
|---|---|
| Address | 830 4th Ave Se Ste 1, Cedar Rapids, Iowa |
| Phone Number | 4026506765 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1497894117 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2021-11-18 |
Provider Mailing Address Detail
| Address | 830 4th Ave Se Ste 1 |
|---|---|
| City | Cedar Rapids |
| State | Iowa (IA) |
| Post Code | 524032445 |
| Phone Number | 4026506765 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1778 |
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Definition: 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 perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 188946 | IA | -- |
Post Comment/ Review Below
What is the Philly Marie Wall's 1497894117?
The Philly Marie Wall's NPI (National Provider Identifier) Number is 1497894117. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Philly Marie Wall's physical address?
The Philly Marie Wall is physically located at 830 4Th Ave Se Ste 1, in the city of Cedar Rapids, IA, with the postal code 524032445.
What is Philly Marie Wall's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Philly Marie Wall is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1497894117 to Philly Marie Wall?
The Centers for Medicare & Medicaid Services originally issued the 1497894117 to Philly Marie Wall on 2007-02-06.
As of what date were the details pertaining to Philly Marie Wall last refreshed?
The information related to the Philly Marie Wall, including its address, specialty, and other relevant details, was last updated on 2021-11-18.
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