MEDICARE: DR. ELIZABETH WALKER D.C

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	111N00000X	Chiropractor	CHI-CHI-LIC-3413	MT

General Provider Information

NPI Number	:	1669831947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH WALKER D.C

Provider Business Mailing Address
First Line	:	235 N 1ST ST W STE A
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59802-3661
Country	:	US
Telephone Number	:	406-549-8969
Fax Number	:

Provider Business Practice Location Address
First Line	:	235 N 1ST ST W STE A
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59802-3661
Country	:	US
Telephone Number	:	406-549-8969
Fax Number	:

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

Provider Enumeration Date	:	02/16/2016
Last Update Date	:	04/10/2023

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