Individual provider · Type 1 NPI

Tanner Wallen, DO

Pulmonary Disease Physician · St. Louis, MO

NPI number 1043731870 Active

Practice location

12255 Depaul Drive, Suite 500
St. Louis, MO 63044

Mailing address

12255 Depaul Drive, Suite 500
St. Louis, MO 63040

Specialties and licenses

TaxonomyCodeLicense
Pulmonary Disease Physician Primary 207RP1001X2020024367 (MO)
Internal Medicine Physician 207R00000X2020024367 (MO)

Pulmonary Disease Physician: An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

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About NPI 1043731870

Tanner Wallen, DO's National Provider Identifier is 1043731870, issued on Jul 1, 2017. The primary taxonomy on file is Pulmonary Disease Physician (207RP1001X), and the practice location is in St. Louis, MO. The record was last updated on Jul 1, 2026.