Dr JOHN L WALLER is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 1986 from University Of Minnesota Medical School.
WAKE FOREST UNIVERSITY HEALTH SCIENCES
1370 W D ST
NORTH WILKESBORO
NC
276593506
Tel: 3366518100
| Npi | 1427105980 |
| Pac Id | 7911193073 |
| Professional Enrollment Id | I20101201000531 |
| Last Name | WALLER |
| First Name | JOHN |
| Middle Name | L |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1986 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Organization Legal Name | WAKE FOREST UNIVERSITY HEALTH SCIENCES |
| Group Practice Pac Id | 4486564952 |
| Number Of Group Practice Members | 1719 |
| Line 1 Street Address | 1370 W D ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | NORTH WILKESBORO |
| State | NC |
| Zip Code | 276593506 |
| Phone Number | 3366518100 |
| Hospital Affiliation Ccn 1 | 340064 |
| Hospital Affiliation Lbn 1 | WILKES REGIONAL MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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