Individual
JOSEPH WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13948 REFLECTION DR, BALLWIN, MO 63021-8054
(217) 836-6855
Mailing address
1090 WOLFRUM RD, WELDON SPRING, MO 63304-7795
(217) 836-6855
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2016003220
MO
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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