Organization
HAMPTON ROADS ARTHRITIS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER RUDOLPH WALLINGFORD M.D. (CEO)
(767) 874-7246
Entity
Organization
Contact information
Practice address
2115 EXECUTIVE DR, SUITE 6C, HAMPTON, VA 23666-2499
(757) 874-7246
(757) 826-9415
Mailing address
2115 EXECUTIVE DR, SUITE 6C, HAMPTON, VA 23666-2499
(757) 874-7246
(757) 826-9415
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
0101024223
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002129
ANTHEM BLUE CROSS
VA
05
—
006045847
—
VA
Enumeration date
11/18/2008
Last updated
11/18/2008
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