Individual
DR. MARK BURNETTE WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 REYNOIR ST, BILOXI, MS 39530-4130
(228) 436-1111
Mailing address
PO BOX 604, BILOXI, MS 39533-0604
(228) 731-7114
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
ME102012
FL
2085R0202X
Diagnostic Radiology Physician
00025773
AL
2085R0202X
Diagnostic Radiology Physician
102012
FL
2085R0202X
Diagnostic Radiology Physician
Primary
20161
MS
Other
Enumeration date
02/24/2007
Last updated
09/09/2025
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