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NPI Code Detail

MEDICARE: WALTER EDWARD URFER CASE MANAGER

MEDICARE: WALTER EDWARD URFER CASE MANAGER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorC22341214CA

General Provider Information

NPI Number : 1649421819
Entity Type Code : Individual
Provider Name (Legal Business Name) : WALTER EDWARD URFER CASE MANAGER
Provider Business Mailing Address
First Line : 29325 KIMBERLINA RD
Second Line :
City : WASCO
State : CA
Zip : 93280
Country : US
Telephone Number : 667-758-4029
Fax Number : 661-758-0891
Provider Business Practice Location Address
First Line : 2731 NUGGET AVE
Second Line :
City : LAKE ISABELLA
State : CA
Zip : 93240-9456
Country : US
Telephone Number : 760-379-3412
Fax Number : 760-379-5332
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2008
Last Update Date : 08/10/2015

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