Individual
ROBERT EDMOND WALTERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6160 KEMPSVILLE CIR STE 325A, NORFOLK, VA 23502-3933
(757) 354-2885
(757) 917-5141
Mailing address
6160 KEMPSVILLE CIR STE 325A, NORFOLK, VA 23502-3933
(757) 354-2885
(757) 917-5141
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101234417
VA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
0101234417
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010015103
—
VA
Enumeration date
01/19/2006
Last updated
08/04/2020
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