Individual
DR. DERRICK A WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
970 MEDICAL DR STE 202, BRIGHAM CITY, UT 84302-3286
(435) 723-0329
(435) 723-0429
Mailing address
PO BOX 405473, ATLANTA, GA 30384-5473
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
02002432A
IN
208600000X
Surgery Physician
Primary
10476500-1204
UT
208600000X
Surgery Physician
O-0397
ID
Other
Enumeration date
08/22/2005
Last updated
02/09/2022
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