Whalio Doctors

NPI 1528069515

William Chambers Waller, MD

Practitioner Urology Physician Rapid City, SD

Practice location

Address
2805 5th St 220, Rapid City, SD 57701-6003
Phone
(605) 348-1084
Fax
(605) 348-3256
Mailing address
5171 Cub Lake Rd STE B280, Show Low, AZ 85901-7888

Registered specialties (2)

Urology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 4033 (SD)
Urology Physician
Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence MD60933481 (WA)

Registry record

NPI
1528069515
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Aug 2005
Record last updated
27 Feb 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.