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Organization

STANLEY R WALKER MDPC

Active
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Organization

STANLEY R WALKER MDPC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STANLEY ROBERT WALKER M.D. (OWNER)
(610) 252-0962
Entity
Organization

Contact information

Practice address
21 CORPORATE DR, SUITE 1, EASTON, PA 18045-2664
(610) 252-0962
(610) 252-4060
Mailing address
21 CORPORATE DR, SUITE 1, EASTON, PA 18045-2664
(610) 252-0962
(610) 252-4060

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD036484L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000319438
ANTHEM
PA
01
0000113191
INDEPENDENCE BLUE CROSS B
05
0006493720003
PA
01
02298300
CAPITAL BLUE CROSS
PA
01
0868276
AETNA
PA
01
087259
EMPIRE
NJ
01
A13191
AMERIHEALTH
PA
Enumeration date
02/23/2007
Last updated
04/20/2008
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