Individual
DANIEL JAMES WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4940 EASTERN AVE # A150, BALTIMORE, MD 21224-2735
(410) 550-7852
(410) 550-0178
Mailing address
9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
15634R
LA
207P00000X
Emergency Medicine Physician
Primary
D84211
MD
207PS0010X
Sports Medicine (Emergency Medicine) Physician
15634R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1465216
—
LA
Enumeration date
03/01/2006
Last updated
11/17/2018
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