Individual
JOSEPH R WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5590 KIETZKE LN, RENO, NV 89511-3019
(775) 323-2080
(775) 325-2334
Mailing address
5590 KIETZKE LN, RENO, NV 89511-3019
(775) 323-2080
(775) 325-2334
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
3369
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002016247
—
NV
01
—
880167036A012
TRICARE
NV
01
—
CC3369
BLUE CROSS BLUE SHIELD
NV
05
—
FS49001151
—
CA
Enumeration date
06/30/2005
Last updated
09/21/2016
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