Search › Arizona › 111N00000X
Mitchell Waller, D.C
NPI 1457424467 · on the registry since 2006 · sole proprietor
Practice
- Address
- 5931 W Hedgehog Pl # B105
Phoenix, AZ 85083 - Phone
- (309) 255-2905
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Also registered as
- 111NI0013X
111N00000X - Licence states on file
- AZ, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona