Individual
ALLIE RAE WATSON WALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12188A N MERIDIAN ST STE 375, CARMEL, IN 46032-4433
(317) 926-1056
Mailing address
12188A N MERIDIAN ST STE 375, CARMEL, IN 46032-4433
(317) 926-1056
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
10002308A
IN
Other
Enumeration date
08/28/2017
Last updated
06/19/2025
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