Organization
DAN G. WALTERS, M.D. A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN G WALTERS M.D. (PRESIDENT)
(760) 327-8405
Entity
Organization
Contact information
Practice address
77564 COUNTRY CLUB DR, SUITE 408, PALM DESERT, CA 92211-0484
(760) 898-2968
(760) 345-3888
Mailing address
77564 COUNTRY CLUB DR, SUITE 408, PALM DESERT, CA 92211-0484
(760) 898-2968
(760) 345-3888
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G39049
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
G39049
CA
Other
Enumeration date
12/21/2006
Last updated
01/15/2015
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