Individual
WALTER P. SAMORA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
405 BUTTERFLY GARDENS DR, COLUMBUS, OH 43215-4985
(614) 722-2000
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35094679
OH
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
35094679
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3060217
—
OH
Enumeration date
05/24/2007
Last updated
11/13/2024
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