Individual
BENJAMIN F WALTON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 4TH ST STE 1A, ALEXANDRIA, LA 71301-8421
(318) 769-5864
(318) 769-3910
Mailing address
201 4TH ST STE 1A, ALEXANDRIA, LA 71301-8421
(318) 769-5864
(318) 769-3910
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD017787
LA
207RP1001X
Pulmonary Disease Physician
Primary
MD017787
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027651
—
LA
Enumeration date
02/13/2007
Last updated
07/25/2012
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