Blythe D Waltersdorf, P.A.

NPI #1669468385 in Creston, Iowa

Provider Information

NPI Number: 1669468385
Entity Type: Individual
Name: Blythe D Waltersdorf, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Sep 27, 2005
Last Updated: Jul 1, 2011

Practice Location

Address: 1610 W TOWNLINE ST
Address 2: SUITE 1
City: Creston
State: Iowa
ZIP Code: 50801-1066
Phone: (641) 782-2131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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