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DAVID L WALTERS DO

>> General Practice >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1306827076

Individual Registrant:
 DAVID L WALTERS DO
Gender: M
Sole Proprietor

Location and contact information for practice:
217 S MAIN ST  FOWLER, CO 81039-1132 US
Tel: 719-263-5005  Fax: 719-263-5485

Contact information for business:
217 S MAIN ST  FOWLER, CO 81039-1132 US
Tel: 719-263-5005  Fax: 719-263-5485

Registration Information:
NPI: 1306827076
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208D00000XAllopathic & Osteopathic Physicians
General Practice
CO39179

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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