Individual provider · Type 1 NPI

Luke M. Walters, PA-C

Medical Physician Assistant · Mount Vernon, WA

NPI number 1043577562 Active

Practice location

2320 Freeway Dr
Mount Vernon, WA 98273-5445

Call (360) 814-6810 Map

Fax (360) 814-6915

Mailing address

1400 E Kincaid St, Attn: Credentialing
Mount Vernon, WA 98274-4127

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XOA60738463 (WA)
Physician Assistant 363A00000XOA60738463 (WA)

Medical Physician Assistant: Definition to come...

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About NPI 1043577562

Luke M. Walters, PA-C's National Provider Identifier is 1043577562, issued on Apr 20, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mount Vernon, WA. The record was last updated on May 3, 2017.