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DR. NEIL D WALLEN M.D.

Allergy

Bristol, Tennessee

Provider NPI: 1326043373

Provider Information:
DR. NEIL D WALLEN M.D.


Practice Location:
933 HIGHWAY 126  BRISTOL, TN 37620 US
Tel: 423-844-7000  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207KA0200XPhysicians
Allergy & Immunology
Allergy
TNMD0000017754

Other Provider Identifiers:

IssuerNumberStateType
006002188VA05
3032572TN05
1326043373VA05
1510634TN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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