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Individual

MR. WILLIAM BRADBURY WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1536 N JEFFERSON ST, JACKSONVILLE, FL 32209-6525
(904) 475-6319
(904) 475-5809
Mailing address
1536 N JEFFERSON ST, JACKSONVILLE, FL 32209-6525
(904) 475-6319
(904) 475-5809

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9100985
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
970010568
RAILROAD MEDICARE
FL
Enumeration date
11/05/2005
Last updated
12/03/2019
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