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NPI Code Detail

MEDICARE: DR. DAWN KWADER WALKER DO

MEDICARE: DR. DAWN KWADER WALKER DO
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
1207Q00000XFamily Medicine Physician3240AZ

Other Identifiers

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

General Provider Information

NPI Number : 1306895529
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAWN KWADER WALKER DO
Provider Business Mailing Address
First Line : 801 W REX ALLEN DR
Second Line :
City : WILLCOX
State : AZ
Zip : 85643-1129
Country : US
Telephone Number : 520-766-5000
Fax Number : 520-766-5001
Provider Business Practice Location Address
First Line : 801 W REX ALLEN DR
Second Line :
City : WILLCOX
State : AZ
Zip : 85643-1129
Country : US
Telephone Number : 520-766-5000
Fax Number : 520-766-5001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2006
Last Update Date : 05/20/2013

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