Organization
MARK WALTON, D.O., P.C.
Active
Other names
Mark Walton, D.O., P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WILLIAM WALTON D.O. (OWNER/ PHYSICIAN)
(719) 597-4200
Entity
Organization
Contact information
Practice address
2141 N ACADEMY CIR, COLORADO SPRINGS, CO 80909-1686
(719) 597-4200
(719) 597-4495
Mailing address
2141 N ACADEMY CIR, COLORADO SPRINGS, CO 80909-1686
(719) 597-4200
(719) 597-4495
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30145
CO
261QU0200X
Urgent Care Clinic/Center
30145
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C1086-2
MEDICARE NUMBER
CO
Enumeration date
05/26/2011
Last updated
06/02/2011
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