Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theodore A Walters, MD

Individual provider Hematology & Oncology Physician · NPI 1821016718

Theodore A Walters, MD is a Hematology & Oncology Physician in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 E Idaho St
Boise, ID 83712-6267
Phone: (208) 381-2711
Fax: (208) 381-4025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Oncology Physician (primary) Taxonomy 207RX0202X · Licence M3117 (ID)
Hematology & Oncology Physician Taxonomy 207RH0003X · Licence M3117 (ID)

Record details

NPI number1821016718
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 18, 2006
Last updated in NPPESDecember 28, 2015
Mailing address1923s Roosevelt St, Boise, ID 83705-3259

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