Individual
DR. THOMAS ROBERT WALTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
380 SUMMIT AVE, STEUBENVILLE, OH 43952-2667
(740) 283-7246
(740) 283-7109
Mailing address
601 COLLIERS WAY, WEIRTON, WV 26062-5014
(304) 797-6595
(304) 797-6052
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35-058833
OH
208VP0014X
Interventional Pain Medicine Physician
35058833
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070745990003
—
PA
05
—
0791040
—
OH
05
—
1806064000
—
WV
01
—
P00819999
RR MEDICARE
WV
Enumeration date
01/06/2006
Last updated
02/22/2012
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