# COLIN S WALTERS MD P C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831950625
- **Authorized official:** COLIN S WALTERS MD (PRESIDENT/OWNER)
- **Authorized official phone:** (703) 725-0128

## Contact information

- **Practice address:** 4320 SEMINARY RD, ALEXANDRIA, VA 22304-1535
- **Practice address phone:** (703) 725-0128
- **Mailing address:** 4622 FIELDSTONE LN NW, WASHINGTON, DC 20008-1001
- **Mailing address phone:** (703) 504-3314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/18/2024
- **Last updated:** 02/07/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0101058261 | STATE LICENSE | VA |