Provider Demographics
NPI:1184673006
Name:ROBERT E. WALTON, D.O., P.A.
Entity Type:Organization
Organization Name:ROBERT E. WALTON, D.O., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:WALTON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:501-888-8200
Mailing Address - Street 1:20798 ARCH STREET PIKE
Mailing Address - Street 2:
Mailing Address - City:HENSLEY
Mailing Address - State:AR
Mailing Address - Zip Code:72065-9257
Mailing Address - Country:US
Mailing Address - Phone:501-888-8200
Mailing Address - Fax:501-888-8201
Practice Address - Street 1:20798 ARCH STREET PIKE
Practice Address - Street 2:
Practice Address - City:HENSLEY
Practice Address - State:AR
Practice Address - Zip Code:72065-9257
Practice Address - Country:US
Practice Address - Phone:501-888-8200
Practice Address - Fax:501-888-8201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty