Organization
RANDY D. WALKER, M.D., P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY DEAN WALKER MD (OWNER)
(870) 584-3000
Entity
Organization
Contact information
Practice address
1553 W COLLIN RAYE DR, DE QUEEN, AR 71832-3801
(870) 584-3000
(870) 584-3003
Mailing address
PO BOX 740, DE QUEEN, AR 71832-0740
(870) 584-3000
(870) 584-3003
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145639001
—
AR
05
—
145640002
—
AR
01
—
5L991
ARKANSAS BLUE CROSS AND BLUE SHIELD
AR
Enumeration date
05/27/2008
Last updated
09/03/2013
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