Individual
MR. PERRY T WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 MEDICAL DR, SUITE 112, BOUNTIFUL, UT 84010
(801) 292-7249
(801) 292-7251
Mailing address
425 MEDICAL DR, SUITE 112, BOUNTIFUL, UT 84010
(801) 292-7249
(801) 292-7251
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
1545581205
UT
Other
Enumeration date
12/08/2006
Last updated
07/18/2008
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