Individual
DR. CODY RAY WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
105 1/2 LOCUST ST, SUITE B, BLAIRSTOWN, IA 52209
(319) 454-6455
(319) 454-0091
Mailing address
PO BOX 267, BLAIRSTOWN, IA 52209-0267
(319) 454-6455
(319) 454-0091
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06430
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0241828
—
IA
01
—
208928197
UNITED HEALTHCARE
IA
01
—
239591
MIDLAND'S CHOICE
IA
01
—
350052834
RAILROAD MEDICARE
IA
01
—
43744
WELLMARK
IA
Enumeration date
10/04/2006
Last updated
09/10/2019
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