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Individual

BEAU JAMES WALKER TOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MEDICAL DOCTOR

Contact information

Practice address
624 SOUTH TONOPAH DRIVE, LAS VEGAS, NV 89106
(702) 436-9100
(702) 685-9991
Mailing address
624 SOUTH TONOPAH DRIVE, LAS VEGAS, NV 89106
(702) 436-9100
(702) 685-9991

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
8223
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00718339
RAIL ROAD MEDICARE
NV
Enumeration date
02/09/2006
Last updated
03/24/2020
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