Individual
MR. WALTER AREVALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1650 COCHRANE CIR, COLORADO SPRINGS, CO 80913-4613
(713) 894-6057
Mailing address
3211 POUGHKEEPSIE DR, COLORADO SPRINGS, CO 80916-5740
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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