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Individual

ERIN ELIZABETH WALZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-2000
Mailing address
1410 N SCOTT ST APT 834, ARLINGTON, VA 22209-2918
(732) 266-8322

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110006212
VA
363A00000X
Physician Assistant
C0006973
MD
363A00000X
Physician Assistant
Primary
PA031518
DC
363A00000X
Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0110006212
COMMONWEALTH OF VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS
VA
Enumeration date
09/11/2018
Last updated
06/08/2020
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