Larry R Walton is a Hand Surgery in Portage, Michigan. Larry R Walton practices all healthcare services and medical treatments related to Hand Surgery. The NPI Number for Larry R Walton is 1790989549. The last update date is 2011-08-19.
Larry R Walton's current location address is 1220 West Milham Ave, Portage, Michigan. You can contact this provider via phone number 2693829900 and fax number 2693820700. The mailing address for Larry R Walton is 1220 West Milham Ave, Portage, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Larry R Walton |
|---|---|
| Address | 1220 West Milham Ave, Portage, Michigan |
| Phone Number | 2693829900 |
| Fax Number | 2693820700 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Walton Raymond Larry |
| Credentials | M.D. |
| Telephone Number | 2693829900 |
NPI Number Detail
| NPI Number | 1790989549 |
|---|---|
| Provider Enumeration Date | 2007-06-14 |
| Last Updated Date | 2011-08-19 |
Provider Mailing Address Detail
| Address | 1220 West Milham Ave |
|---|---|
| City | Portage |
| State | Michigan (MI) |
| Post Code | 490241206 |
| Phone Number | 2693829900 |
| Fax Number | 2693820700 |
Provider's Primary Taxonomy Detail
| Speciality | Hand Surgery |
|---|---|
| Taxonomy | 207Xs0106X |
| Licence No | 39773 |
|
Definition: An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39279 | MI | BCBS | |
| 4079644 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Larry R Walton by the Centers for Medicare & Medicaid Services?
The Larry R Walton has been issued the NPI (National Provider Identifier) 1790989549, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Larry R Walton is physically located?
The Larry R Walton is situated at the following address: 1220 West Milham Ave, Portage, MI 490241206.
What is Larry R Walton's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Larry R Walton is Hand Surgery, and the taxonomy classification code that categorizes this area of expertise is 207Xs0106X.
On what date was the 1790989549 assigned to Larry R Walton?
The Larry R Walton was issued its 1790989549 on 2007-06-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Larry R Walton last refreshed?
The information related to the Larry R Walton, including its address, specialty, and other relevant details, was last updated on 2011-08-19.
NPI Number: 1376546309
Address: 1498 Se Tech Center Pl Ste 240, Vancouver, WA