Individual
JUSTIN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
310 2ND AVE SW, SUITE 107-A, MIAMI, OK 74354-6743
(918) 540-7858
(918) 540-7857
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(918) 540-7858
(918) 540-7857
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5459
OK
Other
Enumeration date
07/03/2013
Last updated
04/05/2017
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