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Contact Information

HOLLI D WALLER, DO
3700 SOUTH MAIN STREET
BLACKSBURG, VA24060
 Phone: 540-953-5445
 Fax: 540-953-5453
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for HOLLI D WALLER · (Female)

NPI Number 1053622167
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/24/2010
Last updated 06/24/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0116022785
Hospital affiliation(s)
  • TOMBALL REGIONAL MEDICAL CENTER - (Acute Care)
    605 HOLDERRIETH
    TOMBALL, TX 77375
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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