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Individual

DR. CHRISTA L WALLING

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1451 JASON RD, GREENFIELD, IN 46140-1039
(317) 462-6601
(317) 462-6625
Mailing address
10170 N 725 W, CARTHAGE, IN 46115-9402
(765) 565-6103

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003127A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000198622
ANTHEM
IN
Enumeration date
10/04/2005
Last updated
07/08/2007
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