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NPI Code Detail

MEDICARE: DR. SCOTT DAVID WALKER D.P.M.

MEDICARE: DR. SCOTT DAVID WALKER D.P.M.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist000947AZ
2213ES0103XFoot & Ankle Surgery PodiatristPOD-000947AZ

General Provider Information

NPI Number : 1063860005
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT DAVID WALKER D.P.M.
Provider Business Mailing Address
First Line : 2929 E THOMAS RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-8034
Country : US
Telephone Number : 602-470-5000
Fax Number : 602-470-5064
Provider Business Practice Location Address
First Line : 2525 E ROOSEVELT ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-4948
Country : US
Telephone Number : 602-344-1015
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2016
Last Update Date : 12/05/2025

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