Individual
SAM WALTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
104 SELMA DR, WINCHESTER, VA 22601-3834
(540) 678-2800
(540) 667-0652
Mailing address
104 SELMA DR, WINCHESTER, VA 22601-3834
(540) 678-2800
(540) 667-0652
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102204964
VA
207Q00000X
Family Medicine Physician
H88467
MD
Other
Enumeration date
06/18/2015
Last updated
10/23/2023
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