MEDICARE: SCOTT A WALKER M.D.

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	207Q00000X	Family Medicine Physician	7366	AK

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

General Provider Information

NPI Number	:	1760472203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT A WALKER M.D.

Provider Business Mailing Address
First Line	:	416E MANOR AVE
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99501-1154
Country	:	US
Telephone Number	:	907-545-1017
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 CHIEF EDDIE HOFFMAN
Second Line	:	KUSKO CLINIC
City	:	BETHEL
State	:	AK
Zip	:	99559
Country	:	US
Telephone Number	:	907-543-6300
Fax Number	:	907-543-6250

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

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	10/23/2015

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