| Charles Earl Wall Jr, PA-C | |
|
1100 N College Ave, Fayetteville, AR 72703-1944 | |
| (479) 443-4301 | |
| Not Available |
| Full Name | Charles Earl Wall Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1100 N College Ave, Fayetteville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013178128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1143 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Earl Wall Jr, PA-C 1100 N College Ave, Fayetteville, AR 72703-1944 Ph: (479) 443-4301 | Charles Earl Wall Jr, PA-C 1100 N College Ave, Fayetteville, AR 72703-1944 Ph: (479) 443-4301 |
Kristin Salmon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301 | |
Savannah Hill, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301 | |
Moorea Leigh Massa, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3336 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-463-3000 | |
Mr. Joseph D Cogan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Dept 116a, Fayetteville, AR 72703 Phone: 479-443-4301 Fax: 479-587-5951 | |
Madalynn Potter, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3336 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-463-3000 | |
Wesley Mcgehee, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 3352 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-521-2752 Fax: 479-521-4603 |