Basic Information
Provider Information
NPI: 1972583938
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WALTON
FirstName: BARBARA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 49
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152300049
CountryCode: US
TelephoneNumber: 4129375726
FaxNumber: 4139375706
Practice Location
Address1: 620 HOWARD AVE
Address2:  
City: ALTOONA
State: PA
PostalCode: 166014804
CountryCode: US
TelephoneNumber: 8149467892
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/18/2006
LastUpdateDate: 11/05/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ZP0102XMD048985LPAY Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology

No ID Information.


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