Individual
ROBERT B WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CO/CPED
Contact information
Practice address
3909 SUNSET RIDGE RD, STE 103, RALEIGH, NC 27607-6667
(919) 789-8222
(919) 789-8226
Mailing address
3909 SUNSET RIDGE RD, STE103, RALEIGH, NC 27607-6667
(919) 789-8222
(919) 789-8226
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
3923
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO003923
ABC
NC
Enumeration date
05/12/2006
Last updated
10/28/2016
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