Individual
MR. JOHN A WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1342 NE MEDICAL CENTER DR STE 100, BEND, OR 97701-5918
(541) 388-2333
(541) 388-0930
Mailing address
2627 EASTOVER TERRACE, MEDFORD, OR 97504
(541) 772-5975
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD10503
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00SS91002
REGENCE BLUE CROSS
OR
05
—
255661
—
OR
05
—
USA242450
—
CA
Enumeration date
01/25/2006
Last updated
07/12/2022
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