| Mia Mckenzie Walters, PA-C | |
| 
					1455 Village Circle Dr, Glen Carbon, IL 62034-4321  | |
| (618) 477-1810 | |
| Not Available | 
| Full Name | Mia Mckenzie Walters | 
|---|---|
| Gender | Female | 
| Speciality | Physician Assistant | 
| Location | 1455 Village Circle Dr, Glen Carbon, Illinois | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1801687355 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mia Mckenzie Walters, PA-C 1455 Village Circle Dr, Glen Carbon, IL 62034-4321 Ph: (618) 477-1810  | Mia Mckenzie Walters, PA-C 1455 Village Circle Dr, Glen Carbon, IL 62034-4321 Ph: (618) 477-1810  | 
Scott D Knox, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4802 S State Route 159, Glen Carbon, IL 62034 Phone: 618-288-4388  | |
Mrs. Samantha Jo Rehme, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4802 South Il-159, Glen Carbon, IL 62034 Phone: 618-288-4388  | |
Thomas Zaiz, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4804 S State Route 159 Ste 10, Glen Carbon, IL 62034 Phone: 618-391-5080 Fax: 618-205-3569  | |
Alana Bollone, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 4802 S State Route 159, Glen Carbon, IL 62034 Phone: 618-288-4388 Fax: 618-288-7660  | |
Natalie D Menossi, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4230 S State Route 159, Glen Carbon, IL 62034 Phone: 618-391-9443 Fax: 618-391-9449  |