Individual
DR. CARA E WALTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
241 SKIWAY DR, KETCHUM, ID 83340
(541) 410-5081
(208) 203-1893
Mailing address
PO BOX 1236, KETCHUM, ID 83340-1231
(541) 410-5081
(208) 203-1893
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M14634
ID
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD21891
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134131
—
OR
01
—
200036915
RAILROAD MEDICARE
OR
Enumeration date
04/25/2006
Last updated
01/04/2021
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