MELVIN JOE WALLER

TOPEKA, KS
NPI1598709552
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KS  54716)
Enumeration Date2006-06-16
Last Update Date2007-07-08
Business Address
Mr. MELVIN JOE WALLER CRNA
2200 SW GAGE BLVD
TOPEKA, KS 66622-0001
Phone number: 785-350-3111
Mailing Address
Mr. MELVIN JOE WALLER CRNA
3245 NW ACORN PL
TOPEKA, KS 66618-1553
Phone number: 785-286-2928
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