Dr BENJAMIN R WALLER III is a male medical professional, specializing in Pediatric Medicine. He graduated in 1987 from University Of Tennessee College Of Medicine.
UT LEBONHEUR PEDIATRIC SPECIALISTS, INC.
848 ADAMS AVE
MEMPHIS
TN
381032816
Tel:
| Npi | 1013974062 |
| Pac Id | 1951595438 |
| Professional Enrollment Id | I20101028000743 |
| Last Name | WALLER |
| First Name | BENJAMIN |
| Middle Name | R |
| Suffix | III |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Secondary Specialty 1 | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialty 2 | INTERVENTIONAL CARDIOLOGY |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERVENTIONAL CARDIOLOGY |
| Organization Legal Name | UT LEBONHEUR PEDIATRIC SPECIALISTS, INC. |
| Group Practice Pac Id | 7719173939 |
| Number Of Group Practice Members | 138 |
| Line 1 Street Address | 848 ADAMS AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | MEMPHIS |
| State | TN |
| Zip Code | 381032816 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 440049 |
| Hospital Affiliation Lbn 1 | METHODIST HEALTHCARE MEMPHIS HOSPITALS |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.