MR. Shane A. Walter, IDC
NPI #1316915309 in Silverdale, Washington
Provider Information
- NPI Number
- 1316915309
- Entity Type
- Individual
- Name
- MR. Shane A. Walter, IDC
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- Mar 8, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- BHC BANGOR, 2050 BARB ST
- Address 2
- SUITE A, NAVAL SUBMARINE BASE BANGOR
- City
- Silverdale
- State
- Washington
- ZIP Code
- 98315-2099
- Phone
- (360) 315-4356
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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