Stephen Jay Wall, M.D.
NPI #1467454462 in Clyde, North Carolina
Provider Information
- NPI Number
- 1467454462
- Entity Type
- Individual
- Name
- Stephen Jay Wall, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pediatrics - Adolescent Medicine
- Credential
- M.D.
- Enumeration Date
- Aug 10, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 15 FACILITY DR
- City
- Clyde
- State
- North Carolina
- ZIP Code
- 28721-9438
- Phone
- (828) 452-2211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Adolescent Medicine — Adolescent Medicine |
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