Dian M Walston, PA

NPI #1184692410 in Atoka, Oklahoma

Provider Information

NPI Number: 1184692410
Entity Type: Individual
Name: Dian M Walston, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Mar 11, 2006
Last Updated: Oct 29, 2009

Practice Location

Address: 1510 S VIRGINIA AVE
City: Atoka
State: Oklahoma
ZIP Code: 74525-3246
Phone: (580) 889-6621

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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