Individual
CHARLES J. WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3660 GUION RD, INDIANAPOLIS, IN 46222-1697
(317) 920-7139
(317) 920-7229
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805
(317) 621-7584
(317) 957-2705
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
02004140A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
35362-021
WI
208D00000X
General Practice Physician
02004140A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201136420
—
IN
05
—
30064200
—
WI
01
—
P01424274
RAIL ROAD PTAN
IN
Enumeration date
06/10/2005
Last updated
09/27/2015
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