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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. NEIL D WALLEN, M.D.

Deactivated

DR. NEIL D WALLEN, M.D. is a Allergy healthcare provider located in BRISTOL, Tennessee. NPI 1326043373 is deactivated in the NPPES registry. Verify at CMS.

Allergy · BRISTOL, TN

This NPI has been deactivated. The record was deactivated on March 18, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1326043373
Provider Type
Individual
Gender
Male
NPI Issued
Jun 16, 2005 (0.75342465753425 yrs)
Last Updated
Sep 24, 2009
Deactivated
Mar 18, 2006
License
MD0000017754 (TN)

Practice Information

Address
933 HIGHWAY 126
BRISTOL, TN, 376203310
Browse TN providers · Browse ZIP 37620
Phone
4238447000
Fax
4238447007
Primary Specialty
Allergy
207KA0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.