James D Waller, MD Valid NPI

Individual provider · Colon & Rectal Surgery Physician · Evansville, IN

NPI

1366440299

Type

Individual (Type 1)

Primary specialty

Colon & Rectal Surgery Physician (Colon & Rectal Surgery)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208C00000X

License number

01029847A (IN)

Sex

Male

Sole proprietor

No

Enumerated

2005-07-13

Last updated

2019-04-15