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NPI Profile for ELIZABETH WALLEN in SANTA FE, NM.
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Anesthesiology |
207L00000X | 79 | Physician/Addiction Medicine | |
Pediatrics |
208000000X | 37 | Physician/Pediatric Medicine |
| NPI # | 1285634071 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 07/22/2005 | |
| Last updated | 05/15/2018 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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ELIZABETH WALLEN
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ELIZABETH WALLEN, MD