NPI 1598873440

John L Waller, MD

Practitioner General Practice Physician Bozeman, MT

Practice location

Address: 206 Westlake Park Blvd, Bozeman, MT 59718-8081
Phone: (843) 743-9667

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 50236 (MT)

Other General Practice providers in Montana →

Registry record

NPI: 1598873440
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Aug 2006
Record last updated: 17 Oct 2024

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.