| Doctor Name: | WALTER PALKOVITCH |
| NPI Number: | 1982027348 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN |
| License Number: | NUR R 12772 |
| Business Practice Address: | One Indian Hill Road Winterhaven, CA - 92283 |
| Business Phone Number: | 7605724100 |
| Business Fax Number: | 7605722133 |
| Mailing Address: | Po Box 1638, YUMA |
| State: | AZ |
| Postal Code: | 85366 |
| Phone Number: | 7605724100 |
| Fax Number: | 7605722133 |
| NPI Enumeration Date: | 01/21/2014 |
| NPI Last Update Date: | 01/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | NUR R 12772 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |