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Contact Information

MARYANN P WALL, MD
940 CENTRAL PARK DR
SUITE 207
STEAMBOAT SPRINGS, CO80487-8816
 Phone: 970-879-3200
 Fax: 970-879-4608
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery Within the Head and Neck

2082S0099X 02 Physician/General Surgery
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for MARYANN P WALL · (Female)

NPI Number 1528065695
Status Active
Credentials MD
Entity Individual
Enumeration date 07/05/2005
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • CO License # 37010
  • CO Medicaid 01370105
Hospital affiliation(s) Not Available
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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