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Organization

WALTON CHIROPRACTIC CENTER, A.P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HARRY WALTON D.C. (OFFICER)
(831) 475-1600
Entity
Organization

Contact information

Practice address
3811 PORTOLA DR, SANTA CRUZ, CA 95062-5232
(831) 475-1600
(831) 475-1122
Mailing address
3811 PORTOLA DR, SANTA CRUZ, CA 95062-5232
(831) 475-1600
(831) 475-1122

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
12302
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZZZ56437Z
BLUE SHIELD PROVIDER
CA
Enumeration date
02/04/2008
Last updated
04/20/2008
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