Individual
DR. MARK EUGENE WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3115 W 6TH ST, SUITE K, LAWRENCE, KS 66049-3101
(913) 909-3559
Mailing address
19523 222ND ST, TONGANOXIE, KS 66086-4460
(913) 909-3559
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05097
KS
Other
Enumeration date
03/28/2007
Last updated
03/10/2008
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