Healthcare Provider Details

I. General information

NPI: 1225534761
Provider Name (Legal Business Name): CAITLIN COLEEN WALKER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2018
Last Update Date: 08/22/2022
Certification Date: 08/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 S DOBSON RD
CHANDLER AZ
85224-5667
US

IV. Provider business mailing address

655 S DOBSON RD
CHANDLER AZ
85224-5667
US

V. Phone/Fax

Practice location:
  • Phone: 480-459-2555
  • Fax: 480-687-1802
Mailing address:
  • Phone: 480-459-2555
  • Fax: 480-687-1802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number66035
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: