Individual
MARCOS ANTONIO WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
(505) 308-3145
Mailing address
412 W ADAMS AVE APT C, KIRKWOOD, MO 63122-4052
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2021006362
MO
Other
Enumeration date
01/02/2026
Last updated
01/02/2026
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