Individual
MR. GERALD KEITH WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PA-C
Contact information
Practice address
600 N. WOLFE ST BLALOCK 544, JOHNS HOPKINS MEDICINE DIVISION OF INTERVENTIONAL RADIO, BALTIMORE, MD 21287-4010
(410) 614-6938
(410) 955-0233
Mailing address
1501 PARK HILL CT, FALLSTON, MD 21047
(443) 686-0905
(410) 879-2048
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C-00072
MD
363AS0400X
Surgical Physician Assistant
C0000072
MD
Other
Enumeration date
04/05/2006
Last updated
03/07/2023
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