IndividualActive
William Waller, M.D.
NPI 1528069515 · Urology Physician · Rapid City, SD
Provider details
- NPI number
- 1528069515
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD60933481 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2805 5th St
220
Rapid City, SD 57701-6003
Phone: (605) 348-1084
Fax: (605) 348-3256
Approximate (ZIP-level) locationGet directions
Mailing address
5171 Cub Lake Rd
Show Low, AZ 85901-7888
Additional practice locations (1)
- 1100 Goethals Dr Ste DRichland, WA 99352-3301Phone: (509) 942-3165Fax: (509) 942-3167
Registry dates
- Enumerated
- 2005-08-02
- Last updated
- 2019-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.