NPI 1003478553
Reed William Walters
Practice location
- Address
- 1604 Visa Dr. STE. 1, Normal, IL 61761
- Phone
- (309) 846-4716
- Fax
- (309) 454-7348
Registered specialties
Other Specialist/Technologist
Primary
Registry record
- NPI
- 1003478553
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 5 Jul 2019
- Record last updated
- 5 Jul 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.