Marshall Tetsuo Walters, PA-C

NPI #1548972391 in Vail, Colorado

Provider Information

NPI Number: 1548972391
Entity Type: Individual
Name: Marshall Tetsuo Walters, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 22, 2022
Last Updated: Dec 22, 2022

Practice Location

Address: 181 W MEADOW DR
City: Vail
State: Colorado
ZIP Code: 81657-5242
Phone: (970) 476-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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