Individual
GARY MAURICE WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
415 DERBY DR, YORK, AL 36925-2117
(205) 392-9656
Mailing address
415 DERBY DR, YORK, AL 36925-2117
(205) 392-9656
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO-215
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000061066
—
AL
Enumeration date
09/01/2006
Last updated
01/11/2017
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