Keith D Walvoord MD

NPI 1013974583 - Otolaryngology - 207Y00000X

NPI Details
NPI 1013974583
Gender Male
Enumeration Date 04/28/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3605 EXECUTIVE DR
SAN ANGELO TX, 76904-6884, US
Phone (325) 224-5354
Fax
Business Location
3555 KNICKERBOCKER RD
SAN ANGELO TX, 76904-7610, US
Phone (325) 949-9555
Fax
Toxanomy
Taxonomy Code 207Y00000X
License State Texas
License Number G3891
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According to our database, Dr. Keith D Walvoord MD NPI is 1013974583, taxonomy code is 207Y00000X and license number is G3891, license state is located at Texas. Keith D Walvoord MD physically located at 3605 Executive Dr, San Angelo TX, 76904-6884. NPI Number Keith D Walvoord MD has the Individual type.

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1013974583 NPI number is provided on an as is basis without warranty of any kind. 1013974583 is maintained by the National Plan & Provider Enumeration System. The contents of Keith D Walvoord MD are for informational purposes only.