Individual
TIMOTHY CHARLES WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
354 TYEE ST, SOLDOTNA, AK 99669-7657
(907) 714-4521
Mailing address
245 N BINKLEY ST, SOLDOTNA, AK 99669-7500
(907) 714-4197
(907) 260-4063
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
12/17/2020
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