Organization
CALVIN WALKER MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALVIN CECIL WALKER M.D. (MEMBER OF LLC)
(318) 323-0700
Entity
Organization
Contact information
Practice address
3418 MEDICAL PARK DR, SUITE 24, MONROE, LA 71203-2376
(318) 323-0700
(318) 323-9983
Mailing address
3418 MEDICAL PARK DR, SUITE 24, MONROE, LA 71203-2376
(318) 323-0700
(318) 323-9983
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
07177R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1363341
—
LA
01
—
52284
MEDICARE PROVIDER NUMBER
LA
Enumeration date
07/28/2011
Last updated
07/28/2011
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