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Organization

DR. EDWIN WALKER

Active
Other names
Dr. Edwin Walker Medical Practice
Organization subpart
No

Provider details

NPI number
Authorized official
COLLEEN HEBERT BUSBY BIBLE LPN, CA (ADMINISTRATOR)
(225) 665-5149
Entity
Organization

Contact information

Practice address
8369 FLORIDA BLVD, SUITE 1, DENHAM SPRINGS, LA 70726-7862
(225) 665-5149
(225) 667-1770
Mailing address
8369 FLORIDA BLVD, SUITE 8, DENHAM SPRINGS, LA 70726-7862
(225) 665-5149
(225) 667-1770

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
LA
261QP2300X
Primary Care Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2373978
LA
Enumeration date
01/28/2014
Last updated
07/21/2022
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