William Chambers Waller JR. M.D.

NPI 1528069515 - Urology - 208800000X

NPI Details
NPI 1528069515
Gender Male
Enumeration Date 08/02/2005
Last Updated 04/25/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
2805 5TH ST
220
RAPID CITY SD, 57701-6003, US
Phone (605) 348-1084
Fax (605) 348-3256
Business Location
5171 CUB LAKE RD
STE B280
SHOW LOW AZ, 85901-7888, US
Phone (928) 532-8663
Fax (928) 532-8665
Toxanomy
Taxonomy Code 208800000X
License State South Dakota
License Number 4033
Remove 1528069515 NPI Number
 

According to our database, Dr. William Chambers Waller JR. M.D. NPI is 1528069515, taxonomy code is 208800000X and license number is 4033, license state is located at South Dakota. William Chambers Waller JR. M.D. physically located at 2805 5th St, Rapid City SD, 57701-6003. NPI Number William Chambers Waller JR. M.D. has the Individual type.

Sponsored links

1528069515 NPI number is provided on an as is basis without warranty of any kind. 1528069515 is maintained by the National Plan & Provider Enumeration System. The contents of William Chambers Waller JR. M.D. are for informational purposes only.