Individual
DR. DONALD WALDREP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 JENSEN CT, SUITE 1B, THOUSAND OAKS, CA 91360-7483
(805) 230-0030
(805) 230-2995
Mailing address
110 JENSEN CT, SUITE 1B, THOUSAND OAKS, CA 91360-7483
(805) 230-0030
(805) 230-2995
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G75982
CA
Other
Enumeration date
01/02/2007
Last updated
03/24/2016
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