Walton W Grote in Fayetteville - Specialist

Walton W Grote - NPI 1053367219

Walton W Grote is a Specialist in Fayetteville, Arkansas. Walton W Grote practices all healthcare services and medical treatments related to Specialist. The NPI Number for Walton W Grote is 1053367219. The last update date is 2011-03-23.

Walton W Grote's current location address is 3396 N Futrall Dr, Fayetteville, Arkansas. You can contact this provider via phone number 4795821938 and fax number 4795870484. The mailing address for Walton W Grote is 3396 N Futrall Dr, Fayetteville, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Walton W Grote
Address 3396 N Futrall Dr, Fayetteville, Arkansas
Phone Number 4795821938
Fax Number 4795870484
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1053367219
Provider Enumeration Date 2006-05-26
Last Updated Date 2011-03-23

Provider Mailing Address Detail

Address 3396 N Futrall Dr
City Fayetteville
State Arkansas (AR)
Post Code 727034057
Phone Number 4795821938
Fax Number 4795870484

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No R-4003
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1163100001 AR --

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FAQs about Walton W Grote

What is the unique identification code assigned to Walton W Grote by the Centers for Medicare & Medicaid Services?

The Walton W Grote has been issued the NPI (National Provider Identifier) 1053367219. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Walton W Grote's facilities are situated?

The facilities of Walton W Grote are physically located at the following address: 3396 N Futrall Dr, Fayetteville, AR, 727034057.

What is Walton W Grote's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Walton W Grote is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.

When did the Walton W Grote receive its 1053367219?

The Walton W Grote was issued its 1053367219 on 2006-05-26, which is the date when the organization was assigned this unique identifier.

When was the Walton W Grote's information last updated?

The Walton W Grote's information was last updated on 2011-03-23.

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