Christopher Scott Waller, IDC

Physician Assistant · Fallon, NV

Individual Active NPI

NPI number 1871850321

Practice location

4755 Pasture Rd Bldg 299
Fallon, NV 89496-3202
Phone
(775) 426-3125
Fax
(775) 426-3135

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NPI record

NPI
1871850321
Entity type
Individual (Type 1)
Enumeration date
April 20, 2012
Last updated
March 12, 2024
Certified
March 12, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — —
Independent Duty Corpsman 1710I1002X — CA

Mailing address

937 Franklin Blvd
Lemoore, CA 93246-4700
Phone
(559) 998-4384

Other practice locations (2)

  • 34800 Bob Wilson Dr, San Diego, CA 92134-3202 · (210) 367-3312 ext. 21036
  • 10180 Bausell Pl, San Diego, CA 92124-3202 · (720) 232-8846

About Christopher Waller

Christopher Scott Waller, IDC is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 4755 Pasture Rd Bldg 299, Fallon, NV 89496-3202. The NPI number 1871850321 was assigned on April 20, 2012 and the record was last updated on March 12, 2024.

Frequently asked questions

What is the NPI number of Christopher Scott Waller, IDC?

The NPI number is 1871850321.

What is the phone number of Christopher Waller?

The phone number listed for the practice location is (775) 426-3125.

Where is Christopher Waller located?

4755 Pasture Rd Bldg 299, Fallon, NV 89496-3202.

What is the taxonomy code for Christopher Waller?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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