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Mike Waller
NPI 1487941811 · on the registry since 2011 · sole proprietor
Practice
- Address
- 4430 Verdugo St
Las Vegas, NV 89147 - Phone
- (702) 321-8493
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Sex
- Male
- Record last updated
- 2011-07-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada