Individual
DR. JOHN WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
301 GIBSON DR, # 1821, ROSEVILLE, CA 95678-5400
(707) 372-2649
Mailing address
301 GIBSON DR, # 1821, ROSEVILLE, CA 95678-5400
(707) 372-2649
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
15618
CA
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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