Individual
DR. WALTER KONSTANZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6690 CAMINITO HERMITAGE, LA JOLLA, CA 92037-5812
(619) 223-2161
Mailing address
PO BOX 9021, LA JOLLA, CA 92038-9021
(619) 223-2161
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
C27500
CA
Other
Enumeration date
06/24/2006
Last updated
07/08/2007
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