Organization
RICHARD C. WALTERS, M.D., P.C.
Active
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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