Individual
DAVID L WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
217 S MAIN ST, FOWLER, CO 81039-1132
(719) 263-5005
(719) 263-5485
Mailing address
217 S MAIN ST, FOWLER, CO 81039-1132
(719) 263-5005
(719) 263-5485
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
39179
CO
Other
Enumeration date
11/09/2005
Last updated
07/08/2007
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