DR. REGINALD WALLEN, M.D.

Family Medicine

Active Individual
NPI: 1225194210

Practice Address

6104 OLD BRANCH AVENUE
KAISER PERMANENTE, PPQA, 6 WEST, ATTN THERESA BROOKS
Temple Hills, MD 20748

Phone: (301) 702-6100

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X No MD16350 (DC)

Frequently Asked Questions

NPI 1225194210 is the National Provider Identifier for DR. REGINALD WALLEN, M.D., a Family Medicine provider located in Temple Hills, MD. This NPI was enumerated on December 28, 2006.
DR. REGINALD WALLEN, M.D. practices at 6104 OLD BRANCH AVENUE, KAISER PERMANENTE, PPQA, 6 WEST, ATTN THERESA BROOKS, Temple Hills, MD 20748.

Quick Facts

NPI
1225194210
Type
Individual
Enumerated
Dec 28, 2006
Last Updated
Jul 8, 2007

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