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Dr. James D Waller Jr., MD

Colon & Rectal Surgery in Evansville, IN. Individual provider (NPI-1).

NPI number1366440299
StatusActive
Last updated in NPPESApr 15, 2019

Details

NPI
1366440299
Entity type
Individual (NPI-1)
Name
Dr. James D Waller Jr.
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 13, 2005
Last updated
Apr 15, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208C00000X Colon & Rectal Surgery01029847AINYes

Practice location

950 S Kenmore Dr Ste B
Evansville, IN 47714-7513

Phone 812-301-8110 · Fax 812-401-4001

Mailing address

950 S Kenmore Dr Ste B
Evansville, IN 47714-7513

Phone 812-301-8110 · Fax 812-401-4001

Other practice locations

801 Saint Marys Dr
Suite 205w
Evansville, IN 47714-0511

Phone 812-477-6103 · Fax 812-477-4897

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