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NPI Code Detail

MEDICARE: DAVID C WALKER DO

MEDICARE:   DAVID C 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
1207R00000XInternal Medicine Physician4231SD
2207R00000XInternal Medicine PhysicianTL2282WY

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 : 1639142508
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID C WALKER DO
Provider Business Mailing Address
First Line : 1333 W 5TH ST, STE 110
Second Line :
City : SHERIDAN
State : WY
Zip : 82801-2752
Country : US
Telephone Number : 307-675-2650
Fax Number : 307-675-2651
Provider Business Practice Location Address
First Line : 1333 W 5TH ST, STE 112
Second Line :
City : SHERIDAN
State : WY
Zip : 82801-2752
Country : US
Telephone Number : 307-675-2650
Fax Number : 307-675-2651
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2006
Last Update Date : 05/11/2021

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Directions to “ DAVID C WALKER DO” Practice Location

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