Individual
DALLAS ARNE VIALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(212) 216-6437
Mailing address
PO BOX 1216, 148 E. WELCHER, COUPEVILLE, WA 98239-1216
(360) 320-1718
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
025801 RN00065153
WA
Other
Enumeration date
02/23/2006
Last updated
06/27/2020
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