Individual
TORIN PATRICK WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3448 US ROUTE 60, HUNTINGTON, WV 25705-2906
(304) 522-1550
(304) 522-0704
Mailing address
PO BOX 910, HUNTINGTON, WV 25712-0910
(304) 522-1550
(304) 522-1073
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
17722
WV
2085R0202X
Diagnostic Radiology Physician
31616
KY
2085R0202X
Diagnostic Radiology Physician
35-08-0613-W
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000195382
UNISON
OH
01
—
000481091
MTN STATE BCBS
—
05
—
0120318000
—
WV
05
—
0974950
—
OH
01
—
4529733
AETNA
—
01
—
50007255
PASSPORT
KY
01
—
55049337600
WORKMANS COMP
WV
05
—
6470037000
—
KY
01
—
940000040
RR MEDICARE (WV)
WV
Enumeration date
12/27/2005
Last updated
04/18/2024
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