Individual
RICHARD C WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3915 WATSON RD, SUITE 201, SAINT LOUIS, MO 63109-1251
(314) 878-5599
(314) 833-5833
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9016
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
R5775
MO
Other
Enumeration date
05/18/2006
Last updated
09/15/2015
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