MEDICARE: DR. PAUL WALKER M.D.

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
1	207P00000X	Emergency Medicine Physician	010134006	VA
2	208000000X	Pediatrics Physician	010134006	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982611604
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL WALKER M.D.

Provider Business Mailing Address
First Line	:	930 MAJESTIC AVE
Second Line	:	SUITE 200
City	:	NORFOLK
State	:	VA
Zip	:	23504-4055
Country	:	US
Telephone Number	:	757-627-5705
Fax Number	:

Provider Business Practice Location Address
First Line	:	930 MAJESTIC AVE
Second Line	:	SUITE 200
City	:	NORFOLK
State	:	VA
Zip	:	23504-4055
Country	:	US
Telephone Number	:	757-627-5705
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	09/12/2012

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Directions to “ DR. PAUL WALKER M.D.” Practice Location

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