Organization
DR MARY A WALTERS
Active
Other names
WALTERS FAMILY CHIROPRACTIC CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY A WALTERS DC (OWNER)
(570) 288-9444
Entity
Organization
Contact information
Practice address
1174 WYOMING AVE, FORTY FORT, PA 18704-4016
(570) 288-9444
(570) 331-7543
Mailing address
1174 WYOMING AVE, FORTY FORT, PA 18704-4016
(570) 288-9444
(570) 331-7543
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072962
FIRST PRIORITY HEALTH
PA
01
—
1659387678
INDV NPI TYPE 1
PA
01
—
181952
BLUE CROSS BLUE SHIELD
PA
01
—
WA181952
MEDICARE
PA
Enumeration date
02/11/2008
Last updated
02/11/2008
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