Individual provider · Type 1 NPI

Diana Hertel Walter, PA-C

Surgical Physician Assistant · Clearwater, FL

NPI number 1659367407 Active

Practice location

455 Pinellas St Ste 320
Clearwater, FL 33756-3369

Fax (727) 441-4966

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA9102544 (FL)
Surgical Physician Assistant Primary 363AS0400XPA102544 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1659367407

Diana Hertel Walter, PA-C's National Provider Identifier is 1659367407, issued on Sep 26, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Clearwater, FL. The record was last updated on Apr 13, 2023.