Organization
WALTON CHIROPRACTIC CENTER, A.P.C.
Active
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
Update your record
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