Individual
BRIAN SCOTT WALTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
335 PENNY LN, CONCORD, NC 28025-1221
(704) 784-5901
(704) 721-0413
Mailing address
335 PENNY LN, CONCORD, NC 28025-1221
(704) 784-5901
(704) 721-0413
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
200800727
NC
Other
Enumeration date
01/27/2008
Last updated
11/17/2020
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