Individual
JEANNINE T WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2000 BOISE AVE, LOVELAND, CO 80538-5006
(970) 635-4071
(970) 635-4177
Mailing address
PO BOX 173817, DENVER, CO 80217-3817
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DR.0049739
CO
207P00000X
Emergency Medicine Physician
O271
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83809261
—
CO
Enumeration date
06/12/2006
Last updated
10/13/2022
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