David J Waddell, MD

NPI #1144239500 in Sullivan, Missouri

Provider Information

NPI Number: 1144239500
Entity Type: Individual
Name: David J Waddell, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Aug 5, 2006
Last Updated: Aug 1, 2023

Practice Location

Address: 751 SAPPINGTON BRIDGE RD
City: Sullivan
State: Missouri
ZIP Code: 63080-2354
Phone: (573) 468-4186

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Internal Medicine - Geriatric Medicine — Geriatric Medicine	207RG0300X
Hospitalist	208M00000X

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