Trevor G Wall, PA-C

NPI #1366871972 in Durango, Colorado

Provider Information

NPI Number: 1366871972
Entity Type: Individual
Name: Trevor G Wall, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 4, 2013
Last Updated: Aug 11, 2015

Practice Location

Address: 1 MERCADO ST
Address 2: STE 202
City: Durango
State: Colorado
ZIP Code: 81301-7306
Phone: (970) 247-5362

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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