Individual
COURT CARROLL WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33 N SKINNER RD, ALLENSPARK, CO 80510-0523
(303) 747-2461
Mailing address
PO BOX 523, ALLENSPARK, CO 80510-0523
(303) 747-2461
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
29106
TN
207Q00000X
Family Medicine Physician
9701191
NC
207Q00000X
Family Medicine Physician
Primary
DR.0054782
CO
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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