Individual
DR. MARK STEPHEN WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5370 COLLEGE BLVD, SUITE 100, OVERLAND PARK, KS 66211-1891
(913) 599-4800
(913) 599-2992
Mailing address
5370 COLLEGE BLVD, SUITE 100, OVERLAND PARK, KS 66211-1935
(913) 599-4800
(913) 599-2992
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
04-24974
KS
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
MD105370
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100161420A
—
KS
01
—
1008080
UNITEDHEALTH CARE
—
01
—
101450
BCBS OF KANSAS
KS
01
—
21144013
BCBS OF KANSAS CITY
MO
Enumeration date
01/23/2007
Last updated
09/02/2020
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