Individual
CHRISTOPHER WALCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
230 6TH ST, RISING SUN, IN 47040-1114
(812) 496-8793
(812) 438-3972
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 344-5555
(859) 344-5552
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01073293A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201068210
—
IN
Enumeration date
06/30/2011
Last updated
03/31/2023
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