Individual
DR. JONATHAN WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9950 W 80TH AVE, #23, ARVADA, CO 80005-3927
(303) 425-1018
(303) 432-4770
Mailing address
1707 COLE BLVD, STE 250, GOLDEN, CO 80401-3220
(303) 716-8013
(303) 716-8056
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28715
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01287150
—
CO
Enumeration date
07/07/2005
Last updated
07/21/2010
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