Individual
DR. WALTER GUILLORY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(726) 780-2175
Mailing address
1585 3RD ST, FORT POLK, LA 71459-5102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101273835
VA
207R00000X
Internal Medicine Physician
350993
LA
Other
Enumeration date
05/18/2020
Last updated
07/13/2026
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