NPI 1528069515
William Chambers Waller, MD
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
Urology Physician
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.