Individual
ROBERT B WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
663 CENTRAL AVE, BARBOURSVILLE, WV 25504-1313
(304) 691-6878
(304) 691-5743
Mailing address
659 CENTRAL AVE, BARBOURSVILLE, WV 25504-1313
(304) 691-6878
(304) 691-6357
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10652
WV
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
10652
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000194939
BC/BS
WV
05
—
0056287000
—
WV
05
—
0439770
—
OH
01
—
080057239
RR MEDICARE
WV
01
—
080064997
RR MEDICARE
WV
05
—
64694078
—
KY
Enumeration date
04/13/2006
Last updated
04/18/2024
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