Stacey Maria Walton, PA-C

NPI #1801868062 in Lisbon, North Dakota

Provider Information

NPI Number: 1801868062
Entity Type: Individual
Name: Stacey Maria Walton, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 2, 2006
Last Updated: Apr 29, 2014

Practice Location

Address: 10 9TH AVE E
City: Lisbon
State: North Dakota
ZIP Code: 58054-4738
Phone: (701) 683-4711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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