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Individual
IAN WALTERS
Active
Individual
IAN WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MA
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A197783
CA
207Q00000X
Family Medicine Physician
TLL-2024-006
GU
Other
Enumeration date
05/24/2021
Last updated
09/05/2024
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