Walter Kwass is a Vascular Surgery in Daly City, California. Walter Kwass practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Walter Kwass is 1972585008. The last update date is 2018-03-17.
Walter Kwass's current location address is 1500 Southgate Ave, Daly City, California. You can contact this provider via phone number 6509916780. The mailing address for Walter Kwass is 1500 Southgate Ave, Daly City, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Walter Kwass |
|---|---|
| Address | 1500 Southgate Ave, Daly City, California |
| Phone Number | 6509916780 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1972585008 |
|---|---|
| Provider Enumeration Date | 2005-11-15 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 1500 Southgate Ave |
|---|---|
| City | Daly City |
| State | California (CA) |
| Post Code | 940152259 |
| Phone Number | 6509916780 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 16674 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1166743 | CT | -- | |
| 2169801 | MA | -- |
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What is the unique identifier code issued to Walter Kwass by the Centers for Medicare & Medicaid Services?
The Walter Kwass has been assigned the NPI (National Provider Identifier) 1972585008. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Walter Kwass?
The Walter Kwass is physically situated at 1500 Southgate Ave, in the city of Daly City, state of CA, with the postal code 940152259.
What is the Walter Kwass's area of specialization and corresponding taxonomy classification?
The Walter Kwass's specialty field is Vascular Surgery, and it falls under the taxonomy code 2086S0129X, which categorizes healthcare providers based on their specialties.
When was the Walter Kwass's 1972585008 issued?
The Walter Kwass's 1972585008 was issued on 2005-11-15.
As of what date were the details pertaining to Walter Kwass last refreshed?
The information related to the Walter Kwass, including its address, specialty, and other relevant details, was last updated on 2018-03-17.
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