# DR. RAYMOND ROY WALSTON III

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1790176873
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 23529 | NH | — |
| 2080P0207X | Pediatric Hematology & Oncology Physician | DR0071417 | CO | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |

## Other

- **Enumeration date:** 02/11/2015
- **Last updated:** 01/05/2024