Provider Demographics
NPI:1356437727
Name:WALGREN, RICHARD ANTHONY (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ANTHONY
Last Name:WALGREN
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:LILLY CORPORATE CTR
Mailing Address - Street 2:MAIL DROP CODE 2113
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46285-0001
Mailing Address - Country:US
Mailing Address - Phone:317-433-0801
Mailing Address - Fax:317-276-9666
Practice Address - Street 1:LILLY CORPORATE CTR
Practice Address - Street 2:MAIL DROP CODE 2113
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46285-0001
Practice Address - Country:US
Practice Address - Phone:317-433-0801
Practice Address - Fax:317-276-9666
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2002014374207RH0003X
IN01065139A207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology