Individual
DR. WALTER KURT THEIS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3011 WILSHIRE BLVD, SANTA MONICA, CA 90403-2301
(310) 264-8385
Mailing address
3011 WILSHIRE BLVD, SANTA MONICA, CA 90403-2301
(310) 264-8385
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
G29942
CA
Other
Enumeration date
05/23/2007
Last updated
07/09/2007
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