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Individual

ROBERT SCOTT WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
303 N CENTENNIAL WAY, MESA, AZ 85201-6733
(480) 649-3111
(480) 649-3113
Mailing address
303 N CENTENNIAL WAY, MESA, AZ 85201-6733
(480) 649-3111
(480) 649-3113

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5385
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2Z223
HEALTHNET HMO PPO
AZ
01
753120978
TRICARE
AZ
01
AZ0463540
BCBS
AZ
Enumeration date
05/15/2006
Last updated
09/30/2011
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