Organization
BENBROOK GASTROENTEROLOGY ASSOCIATES, LLC
Active
Organization
BENBROOK GASTROENTEROLOGY ASSOCIATES, LLC
Active
Other names
Benbrook Gastroenterology Assoc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD A WALTERS DO (OWNER)
(724) 482-6062
Entity
Organization
Contact information
Practice address
104 TECHNOLOGY DR, SUITE 202, BUTLER, PA 16001-1801
(724) 482-6062
(724) 482-6117
Mailing address
104 TECHNOLOGY DR, SUITE 202, BUTLER, PA 16001-1801
(724) 482-6062
(724) 482-6117
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
OS007169L
PA
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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