# MARYANN PURDY WALL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1528065695
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | 37010 | CO | — |
| 2082S0099X | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 37010 | CO | Yes |

## Other

- **Enumeration date:** 07/05/2005
- **Last updated:** 09/11/2025