Individual
STEPHANIE G WALTER
Active
Individual
STEPHANIE G WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C20008477
DE
208000000X
Pediatrics Physician
OS014105
PA
208D00000X
General Practice Physician
OS014105
PA
208M00000X
Hospitalist Physician
OS014105
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0141542
—
NJ
05
—
102043734
—
PA
05
—
413365000
—
MD
Enumeration date
03/20/2007
Last updated
10/24/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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