DR. MARK WALLEN, DPM
Podiatrist
Active
Individual
NPI: 1306811674
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Podiatrist | 213E00000X | Yes | E3104 (CA) |
Frequently Asked Questions
NPI 1306811674 is the National Provider Identifier for DR. MARK WALLEN, DPM, a Podiatrist provider located in Santa Monica, CA. This NPI was enumerated on February 21, 2006.
DR. MARK WALLEN, DPM practices at 2001 SANTA MONICA BLVD, #1190W, Santa Monica, CA 90404.
Quick Facts
- NPI
- 1306811674
- Type
- Individual
- Enumerated
- Feb 21, 2006
- Last Updated
- Jan 21, 2020
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