Provider Demographics
NPI:1992781694
Name:WALIGURA, ROBERT CURTIS (DO)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:CURTIS
Last Name:WALIGURA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:506 ATHENA DR
Mailing Address - Street 2:PO BOX 98
Mailing Address - City:DELMONT
Mailing Address - State:PA
Mailing Address - Zip Code:15626-1005
Mailing Address - Country:US
Mailing Address - Phone:724-468-6869
Mailing Address - Fax:724-468-6207
Practice Address - Street 1:2709 ONEIL BLVD
Practice Address - Street 2:
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15132-1451
Practice Address - Country:US
Practice Address - Phone:412-678-7717
Practice Address - Fax:412-678-3923
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS004181L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAE04603Medicare UPIN
PA85481Medicare ID - Type Unspecified