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Individual
DALLAS C WALZ
Active
Individual
DALLAS C WALZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-36780
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-36780
BOHA
KS
Enumeration date
04/30/2012
Last updated
01/12/2015
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