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Dr. Walter W Tom, MD,FACS
Specialist in Santa Rosa, California
NPI 1861414179

Walter W Tom is a Specialist based in Santa Rosa, CA. Walter W Tom practices in Santa Rosa, CA and has the professional credentials of MD,FACS. The NPI Number for Walter W Tom is 1861414179 and holds a License No. G57374 (California).

The current practice location address for Walter W Tom is 170 Farmers Ln Ste 6B, Santa Rosa, CA and can be reached out via phone at 707-542-8346 and via fax at 707-542-9173.

Location: 170 Farmers Ln Ste 6B, Santa Rosa, CA, 95405-4768
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861414179
Provider Name
Walter W Tom
Credential
MD,FACS
Provider Entity Type
Individual
Gender
Male
Address
170 Farmers Ln Ste 6B, Santa Rosa, CA, 95405-4768
Phone Number
707-542-8346
Fax Number
707-542-9173
Provider Enumeration Date
07/24/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
170 Farmers Ln Ste 6B
City
Santa Rosa
State
California
Zip
95405-4768
Phone Number
707-542-8346
Fax Number
707-542-9173
person
Provider Business Mailing Address Details
Address
170 Farmers Ln Ste 6B
City
Santa Rosa
State
California
Zip
95405-4768
Phone Number
707-542-8346
Fax Number
707-542-9173
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G57374 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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