# W GORDON WALKER, MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316120173
- **Authorized official:** W GORDON WALKER (PHYSICIAN)
- **Authorized official phone:** (408) 358-3663

## Contact information

- **Practice address:** 2505 SAMARITAN DR, SAN JOSE, CA 95124-4006
- **Practice address phone:** (408) 358-3663
- **Mailing address:** 3607 OLD CONEJO RD, THOUSAND OAKS, CA 91320-2123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | AW3225249 | CA | Yes |

## Other

- **Enumeration date:** 12/14/2007
- **Last updated:** 06/17/2008
