Most Relevant Information
Provider Data
| NPI Number: | 1003449943 |
| Provider Name: | ALAN EUGEAN WALDER |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/19/2020 |
| Last Updated: | 02/19/2020 |
Provider Practice Location
4145 KAMMER AVE
DAYTON
OH
454171126
Practice Location Phone/Fax
| Phone: | 9373619248 |
| Fax: |
Provider Mailing Location
4145 KAMMER AVE
DAYTON
OH
454171126
Provider Mailing Phone/Fax
| Phone: | 9373619248 |
| Fax: |