Organization
PERRY T. WALTERS, M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PERRY T. WALTERS (OWNER)
(801) 292-7249
Entity
Organization
Contact information
Practice address
425 MEDICAL DRIVE #112, BOUNTIFUL, UT 84010
(801) 292-7249
(801) 292-7251
Mailing address
425 MEDICAL DRIVE #112, BOUNTIFUL, UT 84010
(801) 292-7249
(801) 292-7251
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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