Individual
MR. TIMOTHY ELLIS WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6116 E ARBOR AVE, BUILDING 2 SUITE 106, MESA, AZ 85206-6107
(480) 926-3353
(480) 926-3362
Mailing address
6116 E ARBOR AVE, BUILDING 2 SUITE 106, MESA, AZ 85206-6107
(480) 926-3353
(480) 926-3362
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11843
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
249864
AHCCS ID
AZ
Enumeration date
02/01/2006
Last updated
12/29/2010
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