NPI | 1083907885 |
---|---|
Doing Business As | MARK WALTON, D.O., P.C. |
Entity Type | Organization |
Authorized Contact | MARK WILLIAM WALTON Owner/ Physician 719-597-4200 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 30145) |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: CO 30145) |
Enumeration Date | 2011-05-26 |
Last Update Date | 2011-06-02 |