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NPI Code Detail

MEDICARE: MS. MELISSA ANN WALKER PA

MEDICARE: MS. MELISSA ANN WALKER PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1053800268
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MELISSA ANN WALKER PA
Provider Business Mailing Address
First Line : PO BOX 108809
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73101-8809
Country : US
Telephone Number : 405-622-3699
Fax Number :
Provider Business Practice Location Address
First Line : 5472 MAIN ST STE 101
Second Line :
City : DEL CITY
State : OK
Zip : 73115-5524
Country : US
Telephone Number : 405-622-3699
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2018
Last Update Date : 07/12/2023

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Directions to “ MS. MELISSA ANN WALKER PA” Practice Location

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