Individual
DR. HEIDI MARA WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1405 CHAMBOLLE CT, LAS VEGAS, NV 89144-1136
(702) 341-9465
(866) 804-7676
Mailing address
1405 CHAMBOLLE CT, LAS VEGAS, NV 89144-1136
(702) 341-9465
(866) 804-7676
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
11600
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08732787
—
CO
01
—
11600
NV STATE MEDICAL LICENSE
NV
Enumeration date
07/26/2006
Last updated
03/07/2023
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