RICHARD WALLER, M.D.
Family Medicine
Active
Individual
NPI: 1821001041
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 07067 (MS) |
Frequently Asked Questions
NPI 1821001041 is the National Provider Identifier for RICHARD WALLER, M.D., a Family Medicine provider located in Marks, MS. This NPI was enumerated on August 15, 2006.
RICHARD WALLER, M.D. practices at 1024 MARTIN LUTHER KING DRIVE, Marks, MS 38646.
Quick Facts
- NPI
- 1821001041
- Type
- Individual
- Enumerated
- Aug 15, 2006
- Last Updated
- Mar 1, 2017
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