Organization
WALTER G WARREN DPM, PC
Active
Other names
COMPREHENSIVE FOOT & ANKLE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER G WARREN DPM (PRESIDENT)
(812) 524-3338
Entity
Organization
Contact information
Practice address
1239 E 4TH STREET RD, SEYMOUR, IN 47274-1839
(812) 524-3338
(812) 524-3337
Mailing address
PO BOX 707, SEYMOUR, IN 47274-0707
(812) 524-3338
(812) 524-3337
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000678
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000092305
BCBS
IN
01
—
0369030001
DMERC
IN
05
—
100140790A
—
IN
01
—
380042P
SIHO
IN
01
—
480024209
PALMETTO GBA RAILROAD
IN
Enumeration date
08/22/2006
Last updated
06/21/2010
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