Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Earl Wall Jr., PA-C

Individual provider Physician Assistant · NPI 1013178128

Charles Earl Wall Jr., PA-C is a Physician Assistant in Fayetteville, Arkansas. Licensed in Minnesota. Registered with an NPI since 2008.

Licensed in
MN
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1100 N College Ave
Fayetteville, AR 72703-1944
Phone: (479) 443-4301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1143 (MN)

Record details

NPI number1013178128
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 20, 2008
Last updated in NPPESMarch 7, 2023

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