Individual
MR. STEPHEN WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 HOSPITAL DR, LEWISBURG, PA 17837-9350
(570) 522-2510
(570) 768-3911
Mailing address
1 HOSPITAL DR STE 306, LEWISBURG, PA 17837-9350
(570) 522-4144
(705) 768-3911
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
OS020475
PA
207ZH0000X
Hematology (Pathology) Physician
OS020475
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
OS020475
PA
Other
Enumeration date
04/12/2016
Last updated
07/16/2021
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