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Individual

DR. EDWARD J WALKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
5665 LOWERY RD, SUITE 100, NORFOLK, VA 23502-2220
(757) 422-2966
(757) 422-4563
Mailing address
5665 LOWERY RD, SUITE 100, NORFOLK, VA 23502-2220
(757) 422-2966
(757) 422-4563

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
0102049902
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006800238
VA
01
2300033
UNITED HEALTH CARE
01
400003
BLUE CROSS BLUE SHIELD
VA
05
890616F
NC
Enumeration date
06/29/2006
Last updated
08/08/2012
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