Individual
DR. WALTER DAVID PEPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10327 DAWSONS CREEK BLVD, 9 D, FORT WAYNE, IN 46825-1909
(260) 424-8770
(260) 469-8774
Mailing address
10327 DAWSONS CREEK BLVD, 9 D, FT WAYNE, IN 46825-1909
(260) 424-8770
(260) 469-8774
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01023389
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100103630D
—
IN
Enumeration date
11/20/2006
Last updated
07/15/2014
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