Individual
MR. WALTER L WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 577-4200
(317) 577-9503
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01076958A
IN
207L00000X
Anesthesiology Physician
A80201
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A802010
BS OF CA
CA
05
—
00A802010
—
CA
01
—
050089798
RAILROAD MEDICARE
CA
Enumeration date
05/24/2006
Last updated
10/25/2022
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