Individual
ALTON J WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5230 BOULDER HWY STE 110, LAS VEGAS, NV 89122-6077
(702) 940-1560
(702) 940-1561
Mailing address
PO BOX 98978, LAS VEGAS, NV 89193-8978
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4017
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902819691
—
NV
01
—
4017
STATE LICENSE
NV
Enumeration date
08/14/2006
Last updated
02/15/2019
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