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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHN L WALLER, MD

Active Sole Proprietor

JOHN L WALLER, MD is a General Practice healthcare provider located in BOZEMAN, Montana. NPI 1598873440 is currently active in the NPPES registry. Verify at CMS.

General Practice · BOZEMAN, MT

Registration Details

NPI Number
1598873440
Provider Type
Individual
Gender
Male
NPI Issued
Aug 29, 2006 (19.934829320365 yrs)
Last Updated
Oct 17, 2024
License
50236 (MT)
Sole Proprietor
Yes

Practice Information

Address
206 WESTLAKE PARK BLVD
BOZEMAN, MT, 597188081
Browse MT providers · Browse ZIP 59718
Phone
8437439667
Primary Specialty
General Practice
208D00000X

Other General Practice Providers in BOZEMAN, MT

Name Credential NPI
DR. PETER JOSEPH SIKOSKI DO 1437143153
PAUL MENKHAUS MD 1154052355
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.