Individual
GLORIA WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 EMANCIPATION DR, HAMPTON, VA 23667-0001
(757) 722-9961
Mailing address
100 EMANCIPATION DR, HAMPTON, VA 23667-0001
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20665
MS
207L00000X
Anesthesiology Physician
35088765
OH
207L00000X
Anesthesiology Physician
48081
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
302I059650
MEDICARE PTAN
MS
05
—
490043000
—
MN
01
—
P00806766
RAILROAD PTAN
MS
Enumeration date
01/10/2006
Last updated
10/08/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us