Healthcare Provider Details

I. General information

NPI: 1639531908
Provider Name (Legal Business Name): ROBERT STEPHEN WALKER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2016
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4344 W BELL RD STE 102
GLENDALE AZ
85308-3589
US

IV. Provider business mailing address

4344 W BELL RD STE 102
GLENDALE AZ
85308-3589
US

V. Phone/Fax

Practice location:
  • Phone: 602-588-4050
  • Fax: 602-588-4034
Mailing address:
  • Phone: 602-588-4050
  • Fax: 602-588-4034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number65804
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number65804
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: