Individual
ALICIA C. WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
216 MALL BLVD STE 101, KING OF PRUSSIA, PA 19406-2923
(215) 390-1449
Mailing address
1528 WALNUT ST, STE 1101, PHILADELPHIA, PA 19102-3621
(410) 472-0900
(410) 472-0900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA058114
PA
Other
Enumeration date
11/22/2013
Last updated
05/10/2023
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