Individual
CHRISTOPHER MICHAEL WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2600 GREENWOOD RD, SHREVEPORT, LA 71103-3908
(318) 212-4000
Mailing address
PO BOX 52775, SHREVEPORT, LA 71135-2775
(318) 212-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
115840
LA
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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