Provider Demographics
NPI:1396874871
Name:WALCHER, ROBERT D III (DC)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:D
Last Name:WALCHER
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4747 MISSION BLVD
Mailing Address - Street 2:SUITE #1
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92109-2541
Mailing Address - Country:US
Mailing Address - Phone:858-866-3345
Mailing Address - Fax:858-866-3347
Practice Address - Street 1:4747 MISSION BLVD
Practice Address - Street 2:SUITE #1
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92109-2541
Practice Address - Country:US
Practice Address - Phone:858-866-3345
Practice Address - Fax:858-866-3347
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA27561111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor