Individual provider · Type 1 NPI

Benjamin R. Waller Iii, MD

Interventional Cardiology Physician · Memphis, TN

NPI number 1013974062 Active

Practice location

51 N Dunlap St Fl 2
Memphis, TN 38105

Fax (901) 287-4646

Mailing address

848 Adams Ave
Memphis, TN 38103-2816

Specialties and licenses

TaxonomyCodeLicense
Pediatric Cardiology Physician 2080P0202X19846 (TN)
Interventional Cardiology Physician Primary 207RI0011X19846 (TN)

Interventional Cardiology Physician: An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

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About NPI 1013974062

Benjamin R. Waller Iii, MD's National Provider Identifier is 1013974062, issued on Apr 26, 2006. The primary taxonomy on file is Interventional Cardiology Physician (207RI0011X), and the practice location is in Memphis, TN. The record was last updated on Jul 13, 2018.