Individual
ANTHONY F. WAECHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1425 S MAIN ST., WALNUT CREEK, CA 94596-5318
(925) 295-4000
Mailing address
4565 SWEETGALE DR, SAN RAMON, CA 94582-5013
(925) 968-1516
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A82645
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A826450
—
CA
Enumeration date
11/02/2006
Last updated
09/08/2008
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