NPI 1013017136
Derrik Porter Walton, DDS
Practice location
- Address
- 1525 Bleistein Ave, Cody, WY 82414-3806
- Phone
- (307) 587-2951
- Fax
- (307) 587-2760
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1013017136
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Sep 2006
- Record last updated
- 9 Jul 2007
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.