Individual
DR. RICHARD DOUGLAS WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
87 SELKIRK RD, WILLIAMSPORT, PA 17701-1810
(570) 326-4828
Mailing address
87 SELKIRK RD, WILLIAMSPORT, PA 17701-1810
(570) 326-4828
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD029360E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0908213
—
PA
Enumeration date
12/29/2006
Last updated
07/08/2007
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