Individual
DR. JAMES ELY WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
310 COUNTY ROAD 14, DEL NORTE, CO 81132-8719
(719) 657-4102
(719) 657-4106
Mailing address
310 COUNTY ROAD 14, DEL NORTE, CO 81132-8719
(719) 657-4102
(719) 657-4106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
52335
CO
207Q00000X
Family Medicine Physician
P4832
TX
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
52335
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025524
KAISER COMMERCIAL NUMBER
CO
01
—
306142YNJJ
MEDICARE PTAN
CO
05
—
85933864
—
CO
Enumeration date
06/23/2011
Last updated
06/21/2024
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