Dr MICHELLE B WALLER PA is a female medical professional, specializing in Physician Assistant. She graduated in 1997.
CONIFER MEDICAL CENTER, PC
26659 PLEASANT PARK RD
CONIFER
CO
804337714
Tel: 3036475300
| Npi | 1275585978 |
| Pac Id | 1052348422 |
| Professional Enrollment Id | I20050719000045 |
| Last Name | WALLER |
| First Name | MICHELLE |
| Middle Name | B |
| Suffix | |
| Gender | F |
| Credential | PA |
| Medical School Name | OTHER |
| Graduation Year | 1997 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
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| Organization Legal Name | CONIFER MEDICAL CENTER, PC |
| Group Practice Pac Id | 4789676131 |
| Number Of Group Practice Members | 13 |
| Line 1 Street Address | 26659 PLEASANT PARK RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | CONIFER |
| State | CO |
| Zip Code | 804337714 |
| Phone Number | 3036475300 |
| Hospital Affiliation Ccn 1 | 060113 |
| Hospital Affiliation Lbn 1 | LITTLETON ADVENTIST HOSPITAL, CENTURA HEALTH |
| Hospital Affiliation Ccn 2 | 060024 |
| Hospital Affiliation Lbn 2 | UNIVERSITY OF COLORADO HOSPITAL AUTHORITY |
| 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 |
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