DR. William Chambers Waller JR., M.D.

NPI #1528069515 in Rapid City, South Dakota

Provider Information

NPI Number: 1528069515
Entity Type: Individual
Name: DR. William Chambers Waller JR., M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Urology
Credential: M.D.
Enumeration Date: Aug 2, 2005
Last Updated: Feb 27, 2019

Practice Location

Address: 2805 5TH ST
Address 2: 220
City: Rapid City
State: South Dakota
ZIP Code: 57701-6003
Phone: (605) 348-1084

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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