Individual
MR. WALTER JAMES COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
10847 W OLIVE AVE APT 2034, PEORIA, AZ 85345-9215
(860) 830-4330
Mailing address
10847 W OLIVE AVE APT 2034, PEORIA, AZ 85345-9215
(860) 830-4330
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
77146
CT
Other
Enumeration date
05/20/2018
Last updated
05/20/2018
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