Brian Scott Walther D.O.

NPI 1083891568 - Dermatology - 207N00000X

NPI Details
NPI 1083891568
Gender Male
Enumeration Date 01/27/2008
Last Updated 02/12/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
335 PENNY LN
CONCORD NC, 28025-1221, US
Phone (704) 784-5901
Fax (704) 721-0413
Business Location
335 PENNY LN
CONCORD NC, 28025-1221, US
Phone (704) 784-5901
Fax (704) 721-0413
Toxanomy
Taxonomy Code 207N00000X
License State Pennsylvania
License Number OT010955
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According to our database, Brian Scott Walther D.O. NPI is 1083891568, taxonomy code is 207N00000X and license number is OT010955, license state is located at Pennsylvania. Brian Scott Walther D.O. physically located at 335 Penny Ln, Concord NC, 28025-1221. NPI Number Brian Scott Walther D.O. has the Individual type.

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1083891568 NPI number is provided on an as is basis without warranty of any kind. 1083891568 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Scott Walther D.O. are for informational purposes only.