Individual
NEVADA LEE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
316 N BELLIN RD, IDAHO FALLS, ID 83402-2357
(208) 524-7195
Mailing address
316 N BELLIN RD, IDAHO FALLS, ID 83402-2357
(208) 524-7195
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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