Healthcare Provider Details

I. General information

NPI: 1689298788
Provider Name (Legal Business Name): AUBREY JOSHUA WALKER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2020
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 S DOBSON RD
MESA AZ
85202-4707
US

IV. Provider business mailing address

1300 S COUNTRY CLUB DR STE 3
MESA AZ
85210-5162
US

V. Phone/Fax

Practice location:
  • Phone: 480-412-3000
  • Fax:
Mailing address:
  • Phone: 480-827-5500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number1689298788
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: