Search › Pennsylvania › 207Q00000X
Michael Walt, DO
NPI 1902976707 · on the registry since 2006 · sole proprietor
Practice
- Address
- 181 Interstate Pkwy
Bradford, PA 16701 - Phone
- (814) 368-3123
- Fax
- (814) 363-2701
- Organisation at this address
- Luis C Gonzalez Md
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 Pennsylvania