Organization
COLIN S WALTERS MD P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLIN S WALTERS MD (PRESIDENT/OWNER)
(703) 725-0128
Entity
Organization
Contact information
Practice address
4320 SEMINARY RD, ALEXANDRIA, VA 22304-1535
(703) 725-0128
Mailing address
4622 FIELDSTONE LN NW, WASHINGTON, DC 20008-1001
(703) 504-3314
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101058261
STATE LICENSE
VA
Enumeration date
01/18/2024
Last updated
02/07/2024
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