Individual
TYLER JAMES WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
(314) 454-8763
(888) 435-7298
Mailing address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
(314) 454-8763
(888) 435-7298
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2026012715
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/22/2022
Last updated
05/25/2026
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