Individual
MATTHEW IVIN WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1624 SHADYSIDE RD, WEST CHESTER, PA 19380-1566
(484) 678-3041
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
22861
NY
363AM0700X
Medical Physician Assistant
Primary
MA057931
PA
Other
Enumeration date
10/05/2015
Last updated
07/03/2023
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