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Individual

IAN G WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2727 N TEJON ST, COLORADO SPRINGS, CO 80907-6231
(719) 632-1818
(719) 632-4615
Mailing address
6510-A S ACADEMY BLVD, #238, COLORADO SPRINGS, CO 80906-8691
(719) 632-1818
(719) 632-4615

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
23671
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01236710
CO
Enumeration date
10/27/2005
Last updated
03/19/2014
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