Individual
DR. SCOTT WALRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-2903
(774) 442-2883
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2449
MA
213ES0103X
Foot & Ankle Surgery Podiatrist
1300
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110119213A
—
MA
Enumeration date
07/01/2013
Last updated
10/29/2020
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