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Individual

DR. BRIAN ALLEN WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
900 N LIBERTY ST STE 400, BOISE, ID 83704-8707
(208) 336-4368
Mailing address
900 N LIBERTY ST STE 400, BOISE, ID 83704-8707
(208) 336-4368

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
R76750
AZ
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
036.162725
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/31/2018
Last updated
06/27/2024
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