Individual
MR. JAMES JACOB WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS, PA-C
Contact information
Practice address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(724) 773-1941
(724) 773-8370
Mailing address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(724) 773-1941
(724) 773-8370
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA053019
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1566799
GATEWAY-WMG
PA
01
—
2008236
HIGHMARK BS FREEDOM BLUE
PA
01
—
50086686
CAPITAL BLUE CROSS
PA
Enumeration date
07/10/2007
Last updated
08/05/2016
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