Individual
DR. BLAINE THOMAS WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4212 W CONGRESS ST STE 3100, LAFAYETTE, LA 70506-6771
(337) 703-3201
(337) 703-3202
Mailing address
PO BOX 919229, DALLAS, TX 75391-9229
(337) 289-8944
(337) 571-0030
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
INTERNSHIP TRAINING
LA
Other
Enumeration date
06/17/2008
Last updated
09/18/2019
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