Organization
MARK V WALTERS DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK VINCENT WALTERS DC (OWNER PRESIDENT)
(417) 461-1155
Entity
Organization
Contact information
Practice address
316 W MOUNT VERNON BLVD, MOUNT VERNON, MO 65712-1940
(417) 461-1155
(417) 461-1155
Mailing address
316 W MOUNT VERNON BLVD, MOUNT VERNON, MO 65712-1940
(417) 461-1155
(417) 461-1155
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006467
MO
171100000X
Acupuncturist
006467
MO
Other
Enumeration date
06/09/2008
Last updated
08/07/2013
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