Individual
ELIZABETH WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5056 N CENTRAL AVE, PHOENIX, AZ 85012-1521
(602) 222-9111
(602) 222-9333
Mailing address
5056 N CENTRAL AVE, PHOENIX, AZ 85012-1521
(602) 222-9111
(602) 222-9333
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4920
AZ
Other
Enumeration date
09/26/2011
Last updated
05/17/2012
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