Individual
DR. WALTER D. FIFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
954 BARTON CT, BOUNTIFUL, UT 84010-0906
(801) 683-8003
Mailing address
954 BARTON CT, BOUNTIFUL, UT 84010-0906
(801) 683-8003
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
MD00013702
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1262807
—
WA
Enumeration date
06/06/2007
Last updated
02/14/2011
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