Individual
STEPHEN C WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
120 BROADWAY N, FARGO, ND 58102-4926
(701) 237-0770
(701) 237-0770
Mailing address
120 BROADWAY N, FARGO, ND 58102-4926
(701) 237-0770
(701) 237-0770
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
480
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4346
NORTH DAKOTA BLUE CROSS
ND
Enumeration date
11/22/2006
Last updated
07/08/2007
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