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Individual

DAVID J WALTON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
2780 E BARNETT RD, MEDFORD, OR 97504-8343
(541) 779-6146
(541) 734-7592
Mailing address
4773 CLOUDCREST DR, MEDFORD, OR 97504-9278
(541) 857-4941
(541) 734-7592

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3326
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
138029
OR
Enumeration date
11/17/2005
Last updated
07/08/2007
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