Individual
CAMERON BRADLEY WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
600 MARY STREET, EVANSVILLE, IN 47747-1972
(812) 450-2240
(812) 450-2710
Mailing address
PO BOX 3366, EVANSVILLE, IN 47732-3366
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
02006682A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2019
Last updated
08/16/2023
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