Individual
1RODNEY DORNELL WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
397 SUMMIT ST, BLYTHEVILLE, AR 72315-2241
(870) 740-7639
Mailing address
1510 BYRUM RD, BLYTHEVILLE, AR 72315-8033
(870) 532-2600
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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