Individual
CAROL A WALTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
865 LINCOLN RD, STE 200, BETTENDORF, IA 52722-4159
(563) 344-8600
(563) 344-2967
Mailing address
865 LINCOLN RD, STE L10, BETTENDORF, IA 52722-4159
(563) 355-9191
(563) 355-3419
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
21706
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034787
HEALTH ALLIANCE
—
01
—
19787
IOWA HEALTH SOLUTIONS
—
01
—
29879
WELLMARK HEALTH PLAN
—
05
—
5183343
—
IA
01
—
IA0160
JOHN DEERE HEALTH PLAN
—
Enumeration date
06/27/2005
Last updated
07/09/2007
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