Stephen C Waller in Kansas City - Infectious Disease

Stephen C Waller - NPI 1043313968

Stephen C Waller is a Infectious Disease in Kansas City, Kansas. Stephen C Waller practices all healthcare services and medical treatments related to Infectious Disease. The NPI Number for Stephen C Waller is 1043313968. The last update date is 2014-05-08.

Stephen C Waller's current location address is 3901 Rainbow Boulevard, Kansas City, Kansas. You can contact this provider via phone number 9135886035 and fax number 9139456916. The mailing address for Stephen C Waller is 3901 Rainbow Boulevard, Kansas City, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen C Waller
Address 3901 Rainbow Boulevard, Kansas City, Kansas
Phone Number 9135886035
Fax Number 9139456916
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1043313968
Provider Enumeration Date 2006-09-06
Last Updated Date 2014-05-08

Provider Mailing Address Detail

Address 3901 Rainbow Boulevard
City Kansas City
State Kansas (KS)
Post Code 66160
Phone Number 9135886035
Fax Number 9139456916

Provider's Primary Taxonomy Detail

Speciality Infectious Disease
Taxonomy 207Ri0200X
Licence No 04-30882
Definition:
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers whi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200263690A KS --
34056011 MO BCBS KC
580860 KS FIRSTGUARD
205362312 MO --

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FAQs about Stephen C Waller

What is the Stephen C Waller's unique identification number?

The Stephen C Waller has been assigned the NPI (National Provider Identifier) Number 1043313968 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Stephen C Waller's facilities are geographically located?

The facilities of Stephen C Waller are physically situated at the following location: 3901 Rainbow Boulevard, Kansas City, KS, 66160.

What is Stephen C Waller's specialized field of practice, and what is the corresponding taxonomy classification code?

The Stephen C Waller's area of specialization is Infectious Disease, and the corresponding taxonomy code that categorizes this field of practice is 207Ri0200X.

On what date did the Stephen C Waller receive the assignment of its 1043313968 from the Centers for Medicare & Medicaid Services?

The Stephen C Waller was issued its 1043313968 by the Centers for Medicare & Medicaid Services on 2006-09-06.

As of what date was the information pertaining to Stephen C Waller, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Stephen C Waller, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-05-08.

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