Individual
DR. WALTER KUCERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(336) 413-2841
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(336) 413-2841
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0101258985
VA
208600000X
Surgery Physician
Primary
183863
CA
208C00000X
Colon & Rectal Surgery Physician
183863
CA
Other
Enumeration date
04/09/2014
Last updated
11/20/2024
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