National Provider Identifier

Thomas Julian Wright Walters, MD

Thomas Julian Wright Walters, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Geneseo, NY and a listed phone number of (585) 295-5450.

NPI 1699791673Geneseo, NYFamily Medicine Physician

Profile Overview

NPI
1699791673
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
July 14, 2006
Last Updated
February 07, 2023

Practice Location

  • 4302 Gateway Dr
  • Geneseo, NY 14454-9449

Phone: (585) 295-5450

Specialties

  • Family Medicine Physician (207Q00000X)
Full Record
NPI
1699791673
Entity Type
Individual
Last Name
Walters
First Name
Thomas
Middle Name
Julian Wright
Credential
MD
Mailing Street Address
4302 Gateway Dr
Mailing City
Geneseo
Mailing State
NY
Mailing ZIP Code
14454-9449
Mailing Country
US
Mailing Phone
(585) 295-5450
Mailing Fax
(585) 447-9804
Practice Street Address
4302 Gateway Dr
Practice City
Geneseo
Practice State
NY
Practice ZIP Code
14454-9449
Practice Country
US
Practice Phone
(585) 295-5450
Practice Fax
(585) 447-9804
Enumeration Date
July 14, 2006
Last Updated
February 07, 2023
Sex
Male
Sole Proprietor
No
Certification Date
February 07, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X)
Other Identifiers
02784985 (NY)