Organization · Type 2 NPI

DR Mary A Walters

Clinic/Center · Forty Fort, PA

NPI number 1124296314 Active

Practice location

1174 Wyoming Ave
Forty Fort, PA 18704-4016

Fax (570) 331-7543

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1124296314

DR Mary A Walters's National Provider Identifier is 1124296314, issued on Feb 11, 2008. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Forty Fort, PA. The record was last updated on Feb 11, 2008.