DR. Reginald M Wallen, M.D.
NPI #1225194210 in Temple Hills, Maryland
Provider Information
- NPI Number
- 1225194210
- Entity Type
- Individual
- Name
- DR. Reginald M Wallen, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- M.D.
- Enumeration Date
- Dec 28, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 6104 OLD BRANCH AVENUE
- Address 2
- KAISER PERMANENTE, PPQA, 6 WEST, ATTN THERESA BROOKS
- City
- Temple Hills
- State
- Maryland
- ZIP Code
- 20748-2518
- Phone
- (301) 702-6100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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