Search › Missouri › 207RP1001X
Tanner Wallen, DO
NPI 1043731870 · on the registry since 2017
Practice
- Address
- 12255 Depaul Drive
Suite 500
Saint Louis, MO 63044 - Phone
- (314) 209-5180
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207RP1001X
207RP1001X
- Also registered as
- 207R00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri