DR. Mark S Wallen, DPM

NPI #1306811674 in Santa Monica, California

Provider Information

NPI Number: 1306811674
Entity Type: Individual
Name: DR. Mark S Wallen, DPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Feb 21, 2006
Last Updated: Jan 21, 2020

Practice Location

Address: 2001 SANTA MONICA BLVD
Address 2: #1190W
City: Santa Monica
State: California
ZIP Code: 90404-2102
Phone: (310) 828-0122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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