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Individual

MILEY WESSON WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7185 HARBOUR TOWNE PKWY S STE 200, SUFFOLK, VA 23435-3796
(757) 457-5100
(757) 961-3934
Mailing address
225 CLEARFIELD AVE, VIRGINIA BEACH, VA 23462-1815
(757) 457-5100
(757) 961-3934

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101030299
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
005888
BCBS
05
02858331
NJ
01
340004002
RAILROAD MEDICARE
VA
05
7576927
VA
05
7906874
NC
Enumeration date
04/22/2006
Last updated
03/23/2018
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