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Walter White

NPI 1841410651 · on the registry since 2007

Practice

Address
11240 Hess Ct
Waldorf, MD 20601
Phone
(240) 346-6915
Fax
(301) 843-3803

Registry record

Primary taxonomy
172A00000X
172A00000X
Licence states on file
DC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland