Individual
DR. GRACE JOY WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5109 W BROAD ST LOWR LEVEL, COLUMBUS, OH 43228-1648
(614) 544-1976
(614) 544-1981
Mailing address
5109 W BROAD ST LOWR LEVEL, COLUMBUS, OH 43228-1648
(614) 544-1976
(614) 544-1981
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-120935
OH
208000000X
Pediatrics Physician
35-120935
OH
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
35.120935
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0823685
—
OH
Enumeration date
03/27/2007
Last updated
02/08/2023
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