Healthcare Provider Details

I. General information

NPI: 1174649594
Provider Name (Legal Business Name): SHARON R WALKER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 02/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 S WADSWORTH BLVD SUITE 325
LAKEWOOD CO
80235-2203
US

IV. Provider business mailing address

3900 S WADSWORTH BLVD SUITE 325
LAKEWOOD CO
80235-2203
US

V. Phone/Fax

Practice location:
  • Phone: 303-634-2970
  • Fax: 303-634-2976
Mailing address:
  • Phone: 303-634-2970
  • Fax: 303-634-2976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number32661
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: