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Mia Walters, PA-C
NPI 1801687355 · on the registry since 2025 · sole proprietor
Practice
- Address
- 1455 Village Circle Dr
Glen Carbon, IL 62034 - Phone
- (618) 477-1810
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-11-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois