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NPI Profile for PATRICK R WALTER in JAMESTOWN, ND.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI # | 1679891907 |
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| Status | Active | |
| Credentials | PA (Physician Assistant) | |
| Entity | Individual | |
| Enumeration date | 05/11/2010 | |
| Last updated | 10/25/2012 - About 14 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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PATRICK R WALTER
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PATRICK R WALTER, PA