NPI 1013178128

Charles Earl Wall, PAC

Practitioner Physician Assistant Fayetteville, AR

Practice location

Address: 1100 N College Ave, Fayetteville, AR 72703-1944
Phone: (479) 443-4301

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1143 (MN)

Other Physician Assistant providers in Arkansas →

Registry record

NPI: 1013178128
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jun 2008
Record last updated: 7 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.