Individual
BLAIR JOHN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CRNA
Contact information
Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 416-3000
Mailing address
5734 COVENTRY LN, FORT WAYNE, IN 46804-7141
(260) 436-7875
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
107291
FL
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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