Individual
DR. CHRISTOPHER PHILIP TALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2510 EAST DUPONT ROAD, SUITE 236, FORT WAYNE, IN 46825
(260) 490-8022
(260) 490-8035
Mailing address
2510 EAST DUPONT ROAD, SUITE 236, FORT WAYNE, IN 46825
(260) 490-8022
(260) 490-8035
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0144949
IN
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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