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1306879366
JACK RYAN WALTER
TACOMA, WA
NPI
1306879366
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: WA MD60267047)
Enumeration Date
2006-07-09
Last Update Date
2019-02-12
Business Address
JACK RYAN WALTER MD
9040 JACKSON AVE MAMC UROLOGY
TACOMA, WA 98431
Phone number: 253-968-2300
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Mailing Address
JACK RYAN WALTER MD
820 N CHELAN AVE
WENATCHEE, WA 98801-2028
Phone number: 509-663-8711
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