# MR. STEPHEN WALL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1801250105
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZC0500X | Cytopathology Physician | OS020475 | PA | — |
| 207ZH0000X | Hematology (Pathology) Physician | OS020475 | PA | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | OS020475 | PA | Yes |

## Other

- **Enumeration date:** 04/12/2016
- **Last updated:** 07/16/2021