Individual
MICHAEL WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
403 S 11TH ST STE 210, BOISE, ID 83702-6968
(208) 381-6005
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
241298
NY
2084P0800X
Psychiatry Physician
Primary
M-14771
ID
Other
Enumeration date
04/23/2008
Last updated
01/16/2023
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