Individual provider · Type 1 NPI
Patricia Walters, DPM
Foot & Ankle Surgery Podiatrist · Tarzana, CA
NPI number
1700940590
Active
Practice location
18366 Clark St # 106
Tarzana, CA 91356-3502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | E2502 (CA) |
| Sports Medicine Podiatrist | 213ES0000X | E2502 (CA) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E2502 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1700940590
Patricia Walters, DPM's National Provider Identifier is 1700940590, issued on Dec 19, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Tarzana, CA. The record was last updated on Jul 7, 2008.