Individual
WILLIAM LOWE WALLER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
21371
MS
207N00000X
Dermatology Physician
MD.201654
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05471708
—
MS
01
—
9789697
AETNA
MS
Enumeration date
11/20/2007
Last updated
08/03/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up