Mark Walters

NPI #1053882175 in Wagoner, Oklahoma

Provider Information

NPI Number: 1053882175
Entity Type: Individual
Name: Mark Walters
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Dec 16, 2018
Last Updated: Dec 16, 2018

Practice Location

Address: 26243 STATE HIGHWAY 51
City: Wagoner
State: Oklahoma
ZIP Code: 74467-8740
Phone: (918) 616-6137

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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