Theodore A Walters in Boise - Medical Oncology
Theodore A Walters - NPI 1821016718
Theodore A Walters is a Medical Oncology in Boise, Idaho. Theodore A Walters practices all healthcare services and medical treatments related to Medical Oncology. The NPI Number for Theodore A Walters is 1821016718. The last update date is 2015-12-28.
Theodore A Walters's current location address is 1923s Roosevelt St, Boise, Idaho. You can contact this provider via phone number 2088612589. The mailing address for Theodore A Walters is 1923s Roosevelt St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore A Walters |
|---|---|
| Address | 1923s Roosevelt St, Boise, Idaho |
| Phone Number | 2088612589 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1821016718 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2015-12-28 |
Provider Mailing Address Detail
| Address | 1923s Roosevelt St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837053259 |
| Phone Number | 2088612589 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical Oncology |
|---|---|
| Taxonomy | 207Rx0202X |
| Licence No | M3117 |
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Definition: An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists |
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What is the Theodore A Walters's unique identification number?
The Theodore A Walters has been assigned the NPI (National Provider Identifier) Number 1821016718 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Theodore A Walters's facilities are situated?
The facilities of Theodore A Walters are physically located at the following address: 1923S Roosevelt St, Boise, ID, 837053259.
What is Theodore A Walters's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Theodore A Walters is Medical Oncology, and the taxonomy classification code that categorizes this area of expertise is 207Rx0202X.
On what date did the Theodore A Walters receive the assignment of its 1821016718 from the Centers for Medicare & Medicaid Services?
The Theodore A Walters was issued its 1821016718 by the Centers for Medicare & Medicaid Services on 2006-07-18.
As of what date were the details related to Theodore A Walters most recently updated or revised?
The information pertaining to Theodore A Walters, including its address, specialty, and other relevant details, was last updated or revised on 2015-12-28.
NPI Number: 1023014131
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