Individual
RUSSELL WALTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
2648 CENTENNIAL PL, TALLAHASSEE, FL 32308-0572
(850) 523-3000
(850) 523-0831
Mailing address
2648 CENTENNIAL PL, TALLAHASSEE, FL 32308-0572
(850) 523-3000
(850) 523-0831
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN 21651
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
ME 126426
FL
Other
Enumeration date
03/24/2010
Last updated
08/24/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us