NPI 1366440299

James D Waller, MD

Practitioner Colon & Rectal Surgery Physician Evansville, IN

Practice location

Address: 950 S Kenmore Dr STE B, Evansville, IN 47714-7513
Phone: (812) 301-8110
Fax: (812) 401-4001

Registered specialties

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 01029847A (IN)

Other Colon & Rectal Surgery providers in Indiana →

Registry record

NPI: 1366440299
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jul 2005
Record last updated: 15 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.