Individual
JOHN R WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2700 152ND AVE NE, REDMOND, WA 98052-5543
(425) 883-5151
Mailing address
PO BOX 34581, SEATTLE, WA 98124-1581
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00015814
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
233913
L&I
WA
05
—
8432809
—
WA
Enumeration date
02/02/2007
Last updated
07/01/2009
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