Individual
IVAN LEONARD WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3020 14TH ST NW, WASHINGTON, DC 20009-6865
(202) 745-4300
(202) 232-0723
Mailing address
30 FRANKLIN ST NE, WASHINGTON, DC 20002-1008
(202) 588-9320
(202) 517-9184
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C03341
MD
363A00000X
Physician Assistant
Primary
PA030359
DC
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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