Individual
DR. MARK EUGENE WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1124 GLENLIVET DR, ALLENTOWN, PA 18106-3104
(610) 554-8290
Mailing address
3877 HIGHPOINT DR, ALLENTOWN, PA 18103-6142
(610) 554-8290
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC006644L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0796190
—
PA
Enumeration date
04/05/2006
Last updated
06/23/2016
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