Individual
DR. BRUCE EDGAR WALTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 ROOSEVELT AVE, YORK, PA 17404-2244
(717) 356-6250
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD047796L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001664506
—
PA
01
—
116580
HIGHMARK BLUE SHIELD
PA
01
—
20089975
AMERIHEALTH MERCY-WMG
PA
01
—
283545
UNISON-WMG
PA
01
—
30123182 (CAREEXP.)
AMERIHEALTH MERCY - WMG
PA
01
—
3012398 (RDYCARE)
AMERIHEALTH MERCY - WMG
PA
01
—
547259
CAREFIRST MD BCBS
MD
01
—
P003074
GATEWAY-WMG
PA
Enumeration date
04/24/2009
Last updated
05/08/2026
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