Individual
MR. CHRISTOPHER SCOTT WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
4755 PASTURE RD BLDG 299, FALLON, NV 89496-3202
(775) 426-3125
(775) 426-3135
Mailing address
937 FRANKLIN BLVD, LEMOORE, CA 93246-4700
(559) 998-4384
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
—
CA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/20/2012
Last updated
03/12/2024
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