Individual
GREGORY D. WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-8638
Mailing address
10790 RANCHO BERNARDO RD., SAN DIEGO, CA 92127-5705
(858) 554-8638
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15705
CA
Other
Enumeration date
05/31/2006
Last updated
07/21/2022
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