Healthcare Provider Details

I. General information

NPI: 1407135684
Provider Name (Legal Business Name): DR. VALERIE O WALKER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2011
Last Update Date: 08/12/2024
Certification Date: 08/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9717 LANDMARK PARKWAY DR STE 115
SAINT LOUIS MO
63127-1662
US

IV. Provider business mailing address

PO BOX 10991
SAINT LOUIS MO
63135-0991
US

V. Phone/Fax

Practice location:
  • Phone: 314-801-8627
  • Fax: 314-801-8628
Mailing address:
  • Phone: 314-968-0700
  • Fax: 314-968-0702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: VALERIE O WALKER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 314-807-7959