Individual
JESSE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8074 S 1300 E, SANDY, UT 84094-0743
(925) 330-5535
Mailing address
1611 E SPRING RUN DR, HOLLADAY, UT 84117-6956
(925) 330-5535
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
11420247-1204
UT
Other
Enumeration date
03/26/2018
Last updated
07/27/2022
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