Individual
TIMOTHY JAMES WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(719) 333-5962
Mailing address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(719) 333-5962
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46667
CO
207Q00000X
Family Medicine Physician
M5113
ID
207Q00000X
Family Medicine Physician
MD00024276
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010000368
REGENCE BLUE SHIELD
ID
01
—
002386500
HEALTHY CONNECTIONS
ID
05
—
002386500
—
ID
05
—
1014521
—
WA
01
—
1118875
DMERC
ID
01
—
31251
WA LABOR & INDUSTRY
WA
01
—
8915081
CRIME VICTIMS COMPENS
WA
01
—
DF615
BLUE CROSS
ID
Enumeration date
09/27/2006
Last updated
06/02/2009
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