← CMS Doctors and Clinicians
JACOB B WALL
PHYSICIAN ASSISTANT · BLOOMINGTON, IN
Provider
- NPI
1932770005- Credential
- —
- Primary specialty
- PHYSICIAN ASSISTANT
- Gender
- Male
- Medical school
- OTHER
- Graduation year
- 2021
Practice
- Address
- 1010 W 2ND ST, BLOOMINGTON, IN 474032217
- Phone
- 8122002458
- Accepts Medicare
- Yes (individual)
- Telehealth
- No
Source
- Authoritative
- NPI Registry
- Machine
- JSON-LD · Markdown