Male or Other

Dr. Christopher J. Wallis MD, PHD

Urology Physician in Nashville, TN(View on Map)

Full Name

Dr. Christopher James Derrick Wallis MD, PHD

NPI Number

1356903652

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/08/2019

Specialties

(Taxonomies)

Code

208800000X

Primary Taxonomy

Yes

Licenses

State

Tennessee

License Number

58513

Contact
Information

Purpose

Mailing
Location

Address

719 THOMPSON LN STE 30330
3601 THE VANDERBILT CLINIC

City

Nashville
Nashville

State

TN
TN

Postal Code

37204-4701
37232-0001

Country

US
US

Telephone Number

N/A
(615) 936-2000

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

cwallis448002@direct.vumc.org

Endpoint Description

Unknown

Use

Direct

Content Type

Other

Other Description:
Health Information Service Provider

Affiliation

N

Endpoint Location

3601 The Vanderbilt ClinicNashville, TN372320001US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/21/2020

Provider Address

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