Search › Nevada › 363A00000X
Christopher Waller, IDC
NPI 1871850321 · on the registry since 2012 · sole proprietor
Practice
- Address
- 4755 Pasture Rd Bldg 299
Fallon, NV 89496 - Phone
- (775) 426-3125
- Fax
- (775) 426-3135
- Organisation at this address
- U.S. Navy
Nhc LemooreInferred from a shared address, not stated in the registry. - Clinicians at this address
- 18
Additional practice sites
- 34800 Bob Wilson Dr, San Diego, CA
- 10180 Bausell Pl, San Diego, CA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 1710I1002X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-12
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