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Individual

RICHARD M WALTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
231 WINDERMERE BLVD, ALEXANDRIA, LA 71303
(318) 487-2020
(318) 445-7745
Mailing address
231 WINDERMERE BLVD, ALEXANDRIA, LA 71303-3538
(318) 487-2020
(318) 445-7745

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
876062T
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1991201
LA
01
P00169994
TRAVELERS MEDICARE
Enumeration date
03/29/2006
Last updated
09/27/2012
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