Individual provider · Type 1 NPI

David Louis Waller Jr., PA-C

Surgical Physician Assistant · Elkins Park, PA

NPI number 1023242286 Active

Practice location

60 Township Line Rd
Elkins Park, PA 19027-2220

Call (215) 663-6800 Map

Fax (215) 663-6547

Mailing address

7435 Elizabeth Rd
Elkins Park, PA 19027-3322

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XMA001013L (PA)

Surgical Physician Assistant: Definition to come...

67 other providers at this address

About NPI 1023242286

David Louis Waller Jr., PA-C's National Provider Identifier is 1023242286, issued on May 3, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Elkins Park, PA. The record was last updated on May 3, 2009.