Mark Burnette Wall M.D.

NPI 1053447268 - Radiology - 2085R0202X

NPI Details
NPI 1053447268
Gender Male
Enumeration Date 02/24/2007
Last Updated 04/14/2016
Entity Type Individual
Active Over 9 years ago
Practice Location
150 REYNOIR ST
BILOXI MS, 39530-4130, US
Phone (228) 432-1571
Fax
Business Location
202 WASHINGTON AVE
OCEAN SPRINGS MS, 39564-4626, US
Phone (228) 875-0693
Fax
Toxanomy
Taxonomy Code 2085R0202X
License State Mississippi
License Number 20161
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According to our database, Dr. Mark Burnette Wall M.D. NPI is 1053447268, taxonomy code is 2085R0202X and license number is 20161, license state is located at Mississippi. Mark Burnette Wall M.D. physically located at 150 Reynoir St, Biloxi MS, 39530-4130. NPI Number Mark Burnette Wall M.D. has the Individual type.

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1053447268 NPI number is provided on an as is basis without warranty of any kind. 1053447268 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Burnette Wall M.D. are for informational purposes only.