Michel A Wall, PA-C

NPI #1154838621 in Moorpark, California

Provider Information

NPI Number: 1154838621
Entity Type: Individual
Name: Michel A Wall, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 5, 2018
Last Updated: Jan 5, 2018

Practice Location

Address: 35 W LOS ANGELES AVE
City: Moorpark
State: California
ZIP Code: 93021-1820
Phone: (805) 529-5370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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