Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. HOLLI DEZAUN WALLER, D.O.
Active Sole ProprietorMRS. HOLLI DEZAUN WALLER, D.O. is a Family Medicine healthcare provider located in BLACKSBURG, Virginia. NPI 1053622167 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · BLACKSBURG, VA
Registration Details
- NPI Number
- 1053622167
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 24, 2010 (16.137848706727 yrs)
- Last Updated
- Jun 24, 2010
- License
-
0116022785 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3700 SOUTH MAIN STREETBLACKSBURG, VA, 24060Browse VA providers · Browse ZIP 24060
- Phone
- 5409535445
- Fax
- 5409535453
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in BLACKSBURG, VA
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID AREND DUNCAN | M.D., F.A.A.F.P. | 1427041656 |
| DAVID G HARDEN | DO | 1831180165 |
| DR. LUCIAN D ROBINSON | MD | 1265423503 |
| DR. RICHARD D SHEPHERD | MD | 1720079973 |
| DR. CAMILLA KAM-MING TSUI | M.D. | 1508857889 |
| DR. CHRISTOPHER PAUL MERTES | M.D. | 1215928585 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.