Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John L Waller, MD

Individual provider General Practice Physician · NPI 1598873440

John L Waller, MD is a General Practice Physician in Bozeman, Montana. Practices as a sole proprietor. Licensed in Montana.

Licensed in
MT
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

206 Westlake Park Blvd
Bozeman, MT 59718-8081
Phone: (843) 743-9667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 50236 (MT)

Record details

NPI number1598873440
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 29, 2006
Last updated in NPPESOctober 17, 2024
Certification dateOctober 17, 2024
Mailing address206 Westlake Park Blvd, Bozeman, MT 59718-8081

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