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JOHN L WALLER MD
NPI 1598873440
General Practice in Bozeman, MT

Active since August 29, 2006
206 WESTLAKE PARK BLVD, BOZEMAN, MT 59718(843) 743-9667 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John L Waller Md NPPES

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

JOHN L WALLER MD (NPI 1598873440) is an individual general practice provider in Bozeman, Montana, licensed in Montana (50236) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1598873440
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJOHN L WALLERCredential: MD
Location Address206 WESTLAKE PARK BLVDBozeman, MT 59718-8081
Mailing Address206 Westlake Park BlvdBozeman, MT 59718-8081 · (843) 743-9667
Phone(843) 743-9667
Sole ProprietorYes
Enumeration DateAugust 29, 2006
Last NPPES UpdateOctober 17, 2024
NPPES CertifiedOctober 17, 2024
✔ NPI 1598873440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MT · 50236
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
206 WESTLAKE PARK BLVD, Bozeman, MT 59718
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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 John Waller's NPI number?

The NPI number for John Waller is 1598873440. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is John Waller located?

John Waller practices at 206 Westlake Park Blvd, Bozeman, MT 59718. The listed phone number is (843) 743-9667.

What is John Waller's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for John Waller was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.