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1255321881
MICHAEL GLEN WALTON
SHREVEPORT, LA
NPI
1255321881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: LA MD.021647)
Enumeration Date
2005-10-25
Last Update Date
2021-12-09
Business Address
Dr. MICHAEL GLEN WALTON M.D.
1453 E BERT KOUN LOOP STE 112
SHREVEPORT, LA 71105-6810
Phone number: 318-798-9400
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Mailing Address
Dr. MICHAEL GLEN WALTON M.D.
PO BOX 51008
SHREVEPORT, LA 71135-1008
Phone number: 318-798-9400
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