Individual
DR. WALTER R CAYCE
Active
Individual
DR. WALTER R CAYCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
15242
AZ
207QA0505X
Adult Medicine Physician
15242
AZ
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
15242
AZ
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
35-047652
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
708172
—
AZ
Enumeration date
02/28/2006
Last updated
01/11/2016
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