Individual
MR. DAVID M WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPA, PA-C
Contact information
Practice address
1080 EMELINE AVE, SANTA CRUZ, CA 95060-1966
(831) 454-4100
Mailing address
8053 VALENCIA ST, APTOS, CA 95003-4073
(831) 688-8680
(831) 688-8817
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA20951
CA
Other
Enumeration date
05/17/2010
Last updated
02/19/2025
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