Mr. Christopher Scott Waller, IDC
Mr. Christopher Scott Waller, IDC is an Independent Duty Corpsman in Fallon, Nevada. Practices as a sole proprietor and works from 3 locations. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
4755 Pasture Rd Bldg 299Fallon, NV 89496-3202
Phone: (775) 426-3125
Fax: (775) 426-3135
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 10180 Bausell Pl, San Diego, CA 92124-3202 — (720) 232-8846
- 34800 Bob Wilson Dr, San Diego, CA 92134-3202 — (210) 367-3312
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|---|
| Independent Duty Corpsman | Taxonomy 1710I1002X (CA) |
Record details
| NPI number | 1871850321 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | Yes |
| NPI enumerated | April 20, 2012 |
| Last updated in NPPES | March 12, 2024 |
| Certification date | March 12, 2024 |
| Mailing address | 937 Franklin Blvd, Lemoore, CA 93246-4700 |
Other providers in Fallon
-
Mr. Jay Russell Waite, IDC
4755 Pasture Rd, Fallon, NV 89496-5000 · (775) 426-3130