| NPI Details | |
|---|---|
| NPI | 1124139738 |
| Gender | Male |
| Enumeration Date | 08/31/2006 |
| Last Updated | 12/24/2012 |
| Entity Type | Individual |
| Active | Over 10 years ago |
| Practice Location | |
|---|---|
| 825 EASTLAKE AVE E SEATTLE WA, 98109-1023, US |
|
| Phone | (206) 288-6823 |
| Fax | (206) 288-6998 |
| Business Location | |
|---|---|
| PO BOX 50095 SEATTLE WA, 98145-5095, US |
|
| Phone | (206) 543-6420 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207RH0000X |
| License State | Washington |
| License Number | MD00044240 |
| Remove 1124139738 NPI Number | |
According to our database, Roland B Walter MD PHD NPI is 1124139738, taxonomy code is 207RH0000X and license number is MD00044240, license state is located at Washington. Roland B Walter MD PHD physically located at 825 Eastlake Ave E, Seattle WA, 98109-1023. NPI Number Roland B Walter MD PHD has the Individual type.
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1124139738 NPI number is provided on an as is basis without warranty of any kind. 1124139738 is maintained by the National Plan & Provider Enumeration System. The contents of Roland B Walter MD PHD are for informational purposes only.
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