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Contact Information

CHRISTOPHER S WALLER, IDC
4755 PASTURE RD BLDG 299
FALLON, NV89496-3202
 Phone: 775-426-3125
 Fax: 775-426-3135
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Independent Duty Corpsman

1710I1002X
Indicates primary specialty

NPI Profile & details for CHRISTOPHER S WALLER · (Male)

NPI Number 1871850321
Status Active
Credentials IDC
Entity Individual
Enumeration date 04/20/2012
Last updated 03/12/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
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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