Individual
MATTHEW SELMAN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5000 ODONAVAN BLVD, STE 404, WALKER, LA 70785-6351
(225) 765-5500
(225) 369-8140
Mailing address
5000 ODONAVAN BLVD, STE 404, WALKER, LA 70785-6351
(225) 765-5500
(225) 369-8140
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.205276
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2110471
—
LA
Enumeration date
05/06/2010
Last updated
05/18/2021
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