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Individual

WALTER WILLIAM DOREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2506 VIA VIESTA, LAJOLLA, CA 92037
(858) 456-2506
Mailing address
2506 VIA VIESTA, LAJOLLA, CA 92037
(858) 456-2506

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C28450
CA

Other

Enumeration date
05/25/2012
Last updated
05/25/2012
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