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Individual
ROME WALTER
Active
Individual
ROME WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11724
MT
207Q00000X
Family Medicine Physician
125-049938
IL
207Q00000X
Family Medicine Physician
Primary
20A12578
CA
Other
Enumeration date
07/23/2007
Last updated
02/20/2020
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