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Individual
SCOTT WILLIAM WALTERS
Active
Individual
SCOTT WILLIAM WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
24463
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
244630
—
SC
Enumeration date
03/20/2007
Last updated
06/16/2021
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