Individual provider · Type 1 NPI

Sydney Waller, PA

Medical Physician Assistant · Aurora, CO

NPI number 1689429581 Active

Practice location

13123 E 16th Ave
Aurora, CO 80045-7106

Call (720) 777-1234 Map

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice locations

  • 13001 E 17th Pl Rm E7019, Aurora, CO 80045-2570 · (303) 724-7963

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA.0009243 (CO)

Medical Physician Assistant: Definition to come...

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About NPI 1689429581

Sydney Waller, PA's National Provider Identifier is 1689429581, issued on Apr 23, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Aurora, CO. The record was last updated on Jul 18, 2025.