Provider Demographics
NPI:1609293067
Name:WALTER, SCOTT ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:ALAN
Last Name:WALTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:17560 S GOLDEN RD UNIT 100
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-6005
Mailing Address - Country:US
Mailing Address - Phone:303-526-1117
Mailing Address - Fax:303-278-0611
Practice Address - Street 1:17560 S GOLDEN RD UNIT 100
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-6005
Practice Address - Country:US
Practice Address - Phone:303-526-1117
Practice Address - Fax:303-278-0611
Is Sole Proprietor?:No
Enumeration Date:2014-03-24
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA263771207N00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology