Individual
DR. CHARLES WESLEY WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11286 N TAMARACK DR, HIGHLAND, UT 84003-9595
(801) 492-9162
(801) 492-9163
Mailing address
11286 N TAMARACK DR, HIGHLAND, UT 84003-9595
(801) 492-9162
(801) 492-9163
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
155451-1205
UT
Other
Enumeration date
06/13/2005
Last updated
03/03/2010
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