Individual
MR. WALTER H DEARMITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2320 NORTH PARK DRIVE, SUITE A, COLUMBUS, IN 47203-2036
(812) 314-0170
(812) 314-0171
Mailing address
2320 N PARK DR, SUITE A, COLUMBUS, IN 47203-4482
(812) 314-0170
(812) 314-0171
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01023855A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000512079
ANTHEM
—
01
—
085024
SIHO
—
Enumeration date
07/10/2006
Last updated
10/10/2007
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