Individual
SAMUEL DEAN WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
32 CAMPUS DR, MISSOULA, MT 59812-0003
(406) 243-6362
Mailing address
32 CAMPUS DR, MISSOULA, MT 59812-0003
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-LAT-LIC-1951
MT
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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