Gloria D Walz, CNP
NPI #1326028937 in Custer, South Dakota
Provider Information
- NPI Number
- 1326028937
- Entity Type
- Individual
- Name
- Gloria D Walz, CNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- CNP
- Enumeration Date
- Jan 19, 2006
- Last Updated
- Jan 23, 2013
Practice Location
- Address
- 1041 MONTGOMERY STREET
- City
- Custer
- State
- South Dakota
- ZIP Code
- 57730-1304
- Phone
- (605) 673-4150
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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