Provider Demographics
NPI:1073521308
Name:R CURTIS WALIGURA D.O.
Entity Type:Organization
Organization Name:R CURTIS WALIGURA D.O.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:CURTIS
Authorized Official - Last Name:WALIGURA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:412-678-7717
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS004181L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA085481Medicare PIN