Samuel J. Walters MD

NPI 1790869782 - Preventive Medicine - 2083X0100X

NPI Details
NPI 1790869782
Gender Male
Enumeration Date 10/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
99 MONTECILLO RD
SAN RAFAEL CA, 94903-3308, US
Phone (415) 444-2000
Fax
Business Location
1800 HARRISON ST FL 7
OAKLAND CA, 94612-3429, US
Phone (510) 625-6262
Fax
Toxanomy
Taxonomy Code 2083X0100X
License State California
License Number G68055
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According to our database, Samuel J. Walters MD NPI is 1790869782, taxonomy code is 2083X0100X and license number is G68055, license state is located at California. Samuel J. Walters MD physically located at 99 Montecillo Rd, San Rafael CA, 94903-3308. NPI Number Samuel J. Walters MD has the Individual type.

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1790869782 NPI number is provided on an as is basis without warranty of any kind. 1790869782 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel J. Walters MD are for informational purposes only.