Walter Tom, MD, FACS

NPI 1861414179 · on the registry since 2006 · sole proprietor

Practice

Address: 170 Farmers Ln Ste 6b
Santa Rosa, CA 95405
Phone: (707) 542-8346
Fax: (707) 542-9173
Organisation at this address: Pine Flat Ranch, Inc.
Aesthetic Laser & Vein Center Of The North Bay
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 174400000X
174400000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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 California