Individual
DR. CHARLES L WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1320 WOODMAN DR, SUITE 200, DAYTON, OH 45432
(937) 223-1781
(937) 853-0096
Mailing address
1320 WOODMAN DR, SUITE 200, DAYTON, OH 45432
(937) 223-1781
(937) 853-0096
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35040630W
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2272231
—
OH
Enumeration date
01/18/2006
Last updated
01/16/2013
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