NPI 1154334431

Robert J Wallner, DO

Practitioner Magnetic Resonance Imaging Radiologic Technologist Hazleton, PA

Practice location

Address: 700 E Broad St, Hazleton, PA 18201-6835
Phone: (215) 663-5910
Fax: (215) 379-8458
Mailing address: 101 Greenwood Ave Suite 150, Jenkintown, PA 19046-2627

Registered specialties

Magnetic Resonance Imaging Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471M1202X Licence OS002166L (PA)

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Registry record

NPI: 1154334431
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.