MEDICARE: DAMON PAUL WALTON DC

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	111N00000X	Chiropractor	038.007869	IL

General Provider Information

NPI Number	:	1518297100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAMON PAUL WALTON DC

Provider Business Mailing Address
First Line	:	1625 N UNION ST
Second Line	:
City	:	LINCOLN
State	:	IL
Zip	:	62656-1169
Country	:	US
Telephone Number	:	217-732-1111
Fax Number	:	217-735-2744

Provider Business Practice Location Address
First Line	:	1625 N UNION ST
Second Line	:
City	:	LINCOLN
State	:	IL
Zip	:	62656-1169
Country	:	US
Telephone Number	:	217-732-1111
Fax Number	:	217-735-2744

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2010
Last Update Date	:	01/05/2010

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Directions to “ DAMON PAUL WALTON DC” Practice Location

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