Individual
DR. WALTER RUDOLPH WALLINGFORD
Active
Individual
DR. WALTER RUDOLPH WALLINGFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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 & BLUE
VA
05
—
006045847
—
VA
01
—
15635
OPTIMA
VA
01
—
541005350
COMMERCIAL INSURANCE
—
Enumeration date
10/24/2006
Last updated
08/22/2008
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