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Individual

DR. SEAN M WALPOLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
950 S OCTORARA TRL, SUITE 160/170, PARKESBURG, PA 19365-2100
(866) 871-0851
(610) 857-6638
Mailing address
950 S OCTORARA TRL, SUITE 160/170, PARKESBURG, PA 19365-2100
(866) 871-0851
(610) 857-6638

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
E10000157
DE
213E00000X
Podiatrist
Primary
SC004518L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001419065
HIGHMARK
PA
01
0335570001
DMEPOS
DE
01
0335570001
DMEPOS
PA
05
1000015486
DE
05
101317084
PA
01
50133623
CBC
PA
Enumeration date
07/03/2006
Last updated
12/15/2016
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