Individual
DR. WALTER W IMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5510 ALMA LN, SPRINGFIELD, VA 22151-4012
(703) 642-5990
(703) 642-5003
Mailing address
5510 ALMA LN, SPRINGFIELD, VA 22151-4012
(703) 642-5990
(703) 642-5003
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101039106
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1965376002
CIGNA HMO
VA
01
—
2006963
AETNA/US HEALTHCARE
VA
01
—
224009
HEALTHKEEPERS
VA
01
—
2900048
UNITED HEALTH VIRGINIA
VA
01
—
2900633
UNITED HEALTH MID-ATLANTI
VA
01
—
4091831
AHP MGD CHOICE
VA
01
—
45560002
BCBS DC CAPCARE
VA
01
—
505112
NCPPO
VA
01
—
51166
MDIPA/OPTIMUM CHOICE/MAMS
VA
05
—
5819393
—
VA
01
—
630385
ONE HEALTH GREATWEST
VA
01
—
723556
AFFORDABLE FIRST HEALTH
VA
Enumeration date
07/28/2005
Last updated
07/09/2007
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