MEDICARE: CLAYTON L WALKER MD

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	207L00000X	Anesthesiology Physician	MD462739	PA
2	207L00000X	Anesthesiology Physician	101044440	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225057334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAYTON L WALKER MD

Provider Business Mailing Address
First Line	:	2132 CHAMBERLING KY
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-1339
Country	:	US
Telephone Number	:	757-496-5778
Fax Number	:

Provider Business Practice Location Address
First Line	:	2132 CHAMBERLING KY
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-1339
Country	:	US
Telephone Number	:	757-496-5778
Fax Number	:

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

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	10/09/2019

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Directions to “ CLAYTON L WALKER MD” Practice Location

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