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Dr Mary A Walters
Clinic/Center in Forty Fort, Pennsylvania
NPI 1124296314

Dr Mary A Walters is a Clinic/Center based in Forty Fort, PA. Dr Mary A Walters practices in Forty Fort, PA. The NPI Number for Dr Mary A Walters is 1124296314 and holds a License No. (Pennsylvania).

The current practice location address for Dr Mary A Walters is 1174 Wyoming Ave, Forty Fort, PA and can be reached out via phone at 570-288-9444 and via fax at 570-331-7543.

Location: 1174 Wyoming Ave, Forty Fort, PA, 18704-4016
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124296314
Provider Name
Dr Mary A Walters
Credential
Provider Entity Type
Organization
Address
1174 Wyoming Ave, Forty Fort, PA, 18704-4016
Phone Number
570-288-9444
Fax Number
570-331-7543
Provider Enumeration Date
02/11/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
072962 01 PA FIRST PRIORITY HEALTH
1659387678 01 PA INDV NPI TYPE 1
WA181952 01 PA MEDICARE
181952 01 PA BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1174 Wyoming Ave
City
Forty Fort
State
Pennsylvania
Zip
18704-4016
Phone Number
570-288-9444
Fax Number
570-331-7543
person
Provider Business Mailing Address Details
Address
1174 Wyoming Ave
City
Forty Fort
State
Pennsylvania
Zip
18704-4016
Phone Number
570-288-9444
Fax Number
570-331-7543
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
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Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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