Healthcare Provider Details

I. General information

NPI: 1457337636
Provider Name (Legal Business Name): DANIEL F. WALTON D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2005
Last Update Date: 01/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 E MOUNTAIN VIEW RD
SCOTTSDALE AZ
85258-4422
US

IV. Provider business mailing address

3333 E CAMELBACK RD STE 180
PHOENIX AZ
85018-2322
US

V. Phone/Fax

Practice location:
  • Phone: 480-696-4020
  • Fax:
Mailing address:
  • Phone: 602-997-0484
  • Fax: 602-224-3358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number2140
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: