JACOB B WALL

GREENWOOD, IN
NPI1932770005
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10003433A)
Enumeration Date2021-07-08
Last Update Date2026-03-10
Business Address
JACOB B WALL PA-C
701 E COUNTY LINE RD STE 308
GREENWOOD, IN 46143-1072
Phone number: 317-859-8970
Mailing Address
JACOB B WALL PA-C
111 NEW HAMPSHIRE AVE STE 2
PORTSMOUTH, NH 03801-2864
Phone number: 330-947-6021
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