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Individual

ANDREW WADE WALTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
516 INDUSTRIAL PARK DR, TRUMANN, AR 72472-9602
(870) 936-8000
(870) 936-1043
Mailing address
PO BOX 1960, JONESBORO, AR 72403-1960
(870) 936-8000
(870) 936-1043

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-9383
AR
208M00000X
Hospitalist Physician
E-9383
AR

Other

Enumeration date
04/16/2012
Last updated
10/18/2018
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