Individual
WALTER C. BOARDWINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
801 GORMAN AVE, ELKINS, WV 26241-3147
(304) 636-3300
Mailing address
812 GORMAN AVE, ELKINS, WV 26241-3181
(304) 637-9302
(304) 637-9306
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
3019
WV
207X00000X
Orthopaedic Surgery Physician
38203
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810030053
—
WV
Enumeration date
09/22/2006
Last updated
10/02/2024
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