MR. DAVID LOUIS WALLER PA-C NPI 1023242286

NPI Information

NPI: 1023242286
Provider Name: MR. DAVID LOUIS WALLER, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
60 TOWNSHIP LINE RD
ELKINS PARK, PA
ZIP 19027
Phone: (215) 663-6800
Get Directions

MR. David Louis Waller, PA-C is a surgical physician assistant in Elkins Park, PA. MR. David Louis Waller, PA-C NPI is 1023242286. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

60 TOWNSHIP LINE RD
ELKINS PARK, PA
ZIP 19027-220
Phone: (215) 663-6800
Fax: (215) 663-6547

The enumeration date for this NPI number is 5/3/2009 and was last updated on 5/3/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	MA001013L	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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