Individual
WALTER RISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2809 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 818-0563
(228) 818-0519
Mailing address
22 DOCTORS DR, SUITE C, OCEAN SPRINGS, MS 39564
(228) 818-0563
(228) 818-0519
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
16867
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122396
—
MS
Enumeration date
11/01/2006
Last updated
07/08/2007
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