MEDICARE: ROBERT DANIEL WALKER DDS, MS

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
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	D 5273	AZ

General Provider Information

NPI Number	:	1154441947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT DANIEL WALKER DDS, MS

Provider Business Mailing Address
First Line	:	3200 N DOBSON RD BLDG A
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85224-9601
Country	:	US
Telephone Number	:	480-838-3535
Fax Number	:	480-838-3538

Provider Business Practice Location Address
First Line	:	3200 N DOBSON RD BLDG A
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85224-9601
Country	:	US
Telephone Number	:	480-838-3535
Fax Number	:	480-838-3538

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	07/08/2007

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