Mark B. Wall, MD PA
NPI #1407216617 in Biloxi, Mississippi
Provider Information
- NPI Number
- 1407216617
- Entity Type
- Organization
- Organization Name
- Mark B. Wall, MD PA
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Mar 1, 2016
- Last Updated
- Mar 1, 2016
Practice Location
- Address
- 150 REYNOIR ST
- City
- Biloxi
- State
- Mississippi
- ZIP Code
- 39530-4130
- Phone
- (228) 432-1571
Authorized Official
- Name
- DR. MARK BURNETTE WALL, MD
- Title
- PRESIDENT-OWNER
- Phone
- (228) 875-0693
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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