Healthcare Provider Details

I. General information

NPI: 1043410418
Provider Name (Legal Business Name): NORMA THERESE WALKS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2007
Last Update Date: 05/01/2023
Certification Date: 05/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1521 E TANGERINE RD STE 201
ORO VALLEY AZ
85755-6218
US

IV. Provider business mailing address

1521 E TANGERINE RD STE 201
ORO VALLEY AZ
85755-6218
US

V. Phone/Fax

Practice location:
  • Phone: 520-605-5664
  • Fax: 520-605-5665
Mailing address:
  • Phone: 520-605-5664
  • Fax: 520-605-5665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number80828
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number56568
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: