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MR. DAVID LOUIS WALLER JR. PA-C
NPI 1023242286
Physician Assistant - Surgical in Elkins Park, PA

Active since May 03, 2009
60 TOWNSHIP LINE RD, ELKINS PARK, PA 19027(215) 663-6800(215) 663-6547 Get Directions Write a Review

NPPES record last updated: May 3, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. David Louis Waller Jr. Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DAVID LOUIS WALLER JR. PA-C (NPI 1023242286) is an individual surgical provider in Elkins Park, Pennsylvania, licensed in Pennsylvania (MA001013L) and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1023242286
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. DAVID LOUIS WALLER JR.Credential: PA-C
Location Address60 TOWNSHIP LINE RDElkins Park, PA 19027-2220
Mailing Address7435 Elizabeth RdElkins Park, PA 19027-3322 · (215) 782-2223 · Fax (215) 782-1066
Phone(215) 663-6800
Fax(215) 663-6547
Sole ProprietorNo
Enumeration DateMay 3, 2009
✔ NPI 1023242286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in PA · MA001013L
60 TOWNSHIP LINE RD, Elkins Park, PA 19027
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARNIE SUE NUTKOWITZ PSYD
Clinical Neuropsychologist
60 TOWNSHIP LINE RD, MOSS REHAB
ELKINS PARK, PA 19027
Montgomery County (215) 663-6000
AMBRIA REID
Nurse Anesthetist, Certified Registered
60 TOWNSHIP LINE RD
ELKINS PARK, PA 19027
Montgomery County (215) 663-6000
AMELIA NI
Physical Medicine & Rehabilitation
60 TOWNSHIP LINE RD
ELKINS PARK, PA 19027
Montgomery County (215) 587-3000
NV CAPITAL CARE PLLC
Internal Medicine
60 TOWNSHIP LINE RD
ELKINS PARK, PA 19027
Montgomery County (516) 304-0415
DR. MICHELLE SISSON PH.D.
Clinical Neuropsychologist
60 TOWNSHIP LINE RD
ELKINS PARK, PA 19027
Montgomery County (215) 663-6043
YI ZHOU MD
Physical Medicine & Rehabilitation
60 TOWNSHIP LINE RD
ELKINS PARK, PA 19027
Montgomery County (215) 663-6677
KELLY ANNE TIERNEY DPT
Physical Therapist
60 TOWNSHIP LINE RD
ELKINS PARK, PA 19027
Montgomery County (215) 663-6000
LEAH CHRISTIE DPT
Physical Therapist
60 TOWNSHIP LINE RD
ELKINS PARK, PA 19027
Montgomery County (215) 663-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Waller's NPI number?

The NPI number for David Waller is 1023242286. It was assigned to this individual provider in the NPPES registry on May 3, 2009.

Where is David Waller located?

David Waller practices at 60 Township Line Rd, Elkins Park, PA 19027. The listed phone number is (215) 663-6800.

What is David Waller's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for David Waller was last updated on May 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.