Healthcare Provider Details

I. General information

NPI: 1588745798
Provider Name (Legal Business Name): ADONICA LOUISE WALKER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ARMED FORCES INSTITUTE OF PATHOLOGY WRAMC 6825 14TH ST & ALASKA AVE
WASHINGTON DC
20306
US

IV. Provider business mailing address

9108 WIRE AVE
SILVER SPRING MD
20901-4916
US

V. Phone/Fax

Practice location:
  • Phone: 202-782-1610
  • Fax:
Mailing address:
  • Phone: 301-587-1340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0213X
TaxonomyPediatric Pathology Physician
License Number35-06-2589-W
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: