Organization
RICHARD C. WALTERS, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD C. WALTERS M.D. (PRESIDENT)
(314) 961-7064
Entity
Organization
Contact information
Practice address
7511 BIG BEND BLVD, SAINT LOUIS, MO 63119-2103
(314) 961-7064
(314) 961-9991
Mailing address
7511 BIG BEND BLVD, SAINT LOUIS, MO 63119-2103
(314) 961-7064
(314) 961-9991
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
R 5775
MO
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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