Individual
MR. SCOTT R WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPED
Contact information
Practice address
3385 BRIGHTON HENRIETTA TOWN LINE RD, ROCHESTER, NY 14623-2813
(585) 473-5950
(585) 473-9596
Mailing address
1993 KENDALL RD, KENDALL, NY 14476-9776
(810) 730-1942
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
—
—
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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