Individual
ROBERT E. WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MPH
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
(318) 629-4833
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.11842R
LA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD.11842R
LA
207RP1001X
Pulmonary Disease Physician
Primary
MD.11842R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014541
—
LA
01
—
4K643F600
MEDICARE - PTAN
LA
Enumeration date
05/04/2006
Last updated
08/18/2023
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