Dr NICHOLAS M WALTHER is a male medical professional, specializing in Physician Assistant. He graduated in 2015.
SOUTHERN CALIFORNIA EMERGENCY MEDICINE
33494 OAK GLEN RD
YUCAIPA
CA
923992057
Tel: 9097978900
| Npi | 1003288481 |
| Pac Id | 5496055113 |
| Professional Enrollment Id | I20151202002723 |
| Last Name | WALTHER |
| First Name | NICHOLAS |
| Middle Name | M |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Secondary Specialty 2 | |
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| Organization Legal Name | SOUTHERN CALIFORNIA EMERGENCY MEDICINE |
| Group Practice Pac Id | 8628128196 |
| Number Of Group Practice Members | 35 |
| Line 1 Street Address | 33494 OAK GLEN RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | YUCAIPA |
| State | CA |
| Zip Code | 923992057 |
| Phone Number | 9097978900 |
| Hospital Affiliation Ccn 1 | 050129 |
| Hospital Affiliation Lbn 1 | ST BERNARDINE MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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