Organization
B WALDO MD LLC
Active
Organization
B WALDO MD LLC
Active
Other names
NA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN E WALDO MD (OWNER)
(773) 520-1950
Entity
Organization
Contact information
Practice address
3000 PEPPER CREEK BRIDGE PKWY, VALPARAISO, IN 46385-7129
(773) 520-1950
Mailing address
3000 PEPPER CREEK BRIDGE PKWY, VALPARAISO, IN 46385-7129
(773) 520-1950
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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