Individual
OLGA V WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
112 HOSPITAL LN, SUITE 110, DANVILLE, IN 46122-1977
(317) 745-8790
(317) 745-8793
Mailing address
1100 SOUTHFIELD DR, SUITE 1370, PLAINFIELD, IN 46168-4498
(317) 837-5571
(317) 837-5580
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01056114A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200381600
—
IN
Enumeration date
09/26/2005
Last updated
06/08/2010
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