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Contact Information

MARK B WALL, MD
150 REYNOIR ST
BILOXI, MS39530-4130
 Phone: 228-436-1111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Body Imaging

2085B0100X
Indicates primary specialty

NPI Profile & details for MARK B WALL · (Male)

NPI # 1053447268
Status Active
Credentials MD
Entity Individual
Enumeration date 02/24/2007
Last updated 09/09/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 00025773
  • FL License # 102012
  • FL License # ME102012
  • MS License # 20161
Hospital affiliation(s)
  • BILOXI REGIONAL MEDICAL CENTER - (Acute Care)
    150 REYNOIR STREET
    BILOXI, MS 39530
  • MEMORIAL HOSPITAL AT GULFPORT - (Acute Care)
    4500 13TH ST-P O BOX 1810
    GULFPORT, MS 39502
  • UNIV OF S AL CHILDREN'S & WOMEN'S HOS - (Childrens)
    1700 CENTER STREET
    MOBILE, AL 36604
  • UNIV OF SOUTH ALABAMA MEDICAL CENTER - (Acute Care)
    2451 FILLINGIM STREET
    MOBILE, AL 36617
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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