Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES WESLEY WALTON, MD
Active Sole ProprietorDR. CHARLES WESLEY WALTON, MD is a Addiction Medicine (Family Practice) healthcare provider located in HIGHLAND, Utah. NPI 1457355869 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Family Practice) · HIGHLAND, UT
Registration Details
- NPI Number
- 1457355869
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2005 (21.200825055858 yrs)
- Last Updated
- Mar 3, 2010
- License
-
155451-1205 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11286 N TAMARACK DRHIGHLAND, UT, 840039595Browse UT providers · Browse ZIP 84003
- Phone
- 8014929162
- Fax
- 8014929163
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.