Individual
ROLAND B WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-1023
(206) 288-6823
(206) 288-6998
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
MD00044240
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0232140
L&I
WA
05
—
1124139738
—
WA
Enumeration date
08/31/2006
Last updated
12/24/2012
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