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Individual

MR. GARY DONALD WALTERS II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ARRT (R)(T)

Contact information

Practice address
2013 MANADA ST, HARRISBURG, PA 17104-2952
(717) 236-2530
Mailing address
2013 MANADA ST, HARRISBURG, PA 17104-2952
(717) 236-2530

Taxonomy

Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
381130

Other

Enumeration date
09/24/2013
Last updated
09/24/2013
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