Individual
MR. DANIEL HUGH WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8859 BROOKSIDE CT, SUITE 101, WEST CHESTER, OH 45069-7113
(513) 779-6225
(513) 779-6905
Mailing address
120 BURNS AVE, CINCINNATI, OH 45215-4316
(513) 761-4409
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35052659W
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0777575
—
OH
Enumeration date
09/26/2005
Last updated
09/17/2014
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