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MARYANN PURDY WALL M.D. NPI 1528065695


NPI Information

NPI: 1528065695
Provider Name: MARYANN PURDY WALL, M.D.
Classification: Otolaryngology - 207Y00000X
Entity Type: Individual
Address:
940 CENTRAL PARK DR
SUITE 207
STEAMBOAT SPRINGS, CO
ZIP 80487
Phone: (970) 879-3200
Get Directions

Maryann Purdy Wall, M.D. is an otolaryngology in Steamboat Springs, CO. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. Maryann Purdy Wall, M.D. NPI is 1528065695. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

940 CENTRAL PARK DR
SUITE 207
STEAMBOAT SPRINGS, CO
ZIP 80487-816
Phone: (970) 879-3200
Fax: (970) 879-4608

The enumeration date for this NPI number is 7/5/2005 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Y00000XOtolaryngology37010COLORADOYes
22082S0099XPlastic SurgeryPlastic Surgery Within the Head and Neck37010COLORADOX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F64145MEDICARE UPINCOLORADO
293381MEDICARE ID-TYPE UNSPECIFIEDCOLORADO
301370105MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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