MEDICARE: ROBERT E. WALTON, D.O., P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1184673006
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT E. WALTON, D.O., P.A.

Provider Business Mailing Address
First Line	:	20798 ARCH STREET PIKE
Second Line	:
City	:	HENSLEY
State	:	AR
Zip	:	72065-9257
Country	:	US
Telephone Number	:	501-888-8200
Fax Number	:	501-888-8201

Provider Business Practice Location Address
First Line	:	20798 ARCH STREET PIKE
Second Line	:
City	:	HENSLEY
State	:	AR
Zip	:	72065-9257
Country	:	US
Telephone Number	:	501-888-8200
Fax Number	:	501-888-8201

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. ROBERT E WALTON
Credential	:	D.O.
Telephone Number	:	501-888-8200

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	08/15/2013

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