DAVID M WALL

SANTA CRUZ, CA
NPI1619296548
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA20951)
Enumeration Date2010-05-17
Last Update Date2023-08-24
Business Address
Mr. DAVID M WALL MPA, PA-C
1080 EMELINE AVE
SANTA CRUZ, CA 95060-1966
Phone number: 831-454-4100
Mailing Address
Mr. DAVID M WALL MPA, PA-C
8053 VALENCIA ST
APTOS, CA 95003-4073
Phone number: 831-688-8680