Individual
EMILY BARBARA WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
340 MONTAGE MOUNTAIN RD, MOOSIC, PA 18507-1707
(570) 346-3686
Mailing address
75 MCCABE AVE, CARBONDALE, PA 18407-1723
(570) 766-9797
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA066039
PA
Other
Enumeration date
09/25/2024
Last updated
10/08/2024
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