| Doctor Name: | DALLAS ARNE VIALL |
| NPI Number: | 1093781619 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NURSE PRACTITIONER |
| License Number: | 025801 RN00065153 |
| Business Practice Address: | 148 E Welcher Rd Box 1216 Coupeville, WA - 982394046 |
| Business Phone Number: | 3606786449 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1216, 148 E. Welcher COUPEVILLE |
| State: | WA |
| Postal Code: | 982391216 |
| Phone Number: | 3606786449 |
| Fax Number: | |
| NPI Enumeration Date: | 02/23/2006 |
| NPI Last Update Date: | 06/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 025801 RN00065153 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |