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Individual

DR. ROBERT WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
120 12TH STREET EXT, PRINCETON, WV 24740-2352
(304) 487-8271
(304) 487-5666
Mailing address
120 12TH STREET EXT, PRINCETON, WV 24740-2352
(304) 487-8271
(304) 487-5666

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
24684
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
-017
TRICARE/CHAMPUS
VA
05
010128633
VA
01
067RK
BC/BS
NC
01
10002753
SENTARA/OPTIMA
VA
01
173758
ANTHEM
VA
01
2129399
UHC/MAMSI
VA
05
89067RK
NC
01
91962
SENTARA
VA
01
PAR
VIRGINIA PREMIER HEALTH
VA
Enumeration date
03/09/2006
Last updated
01/01/2012
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