Individual
TED WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10012 KENNERLY RD STE 102, SAINT LOUIS, MO 63128-2197
(314) 364-4808
Mailing address
10012 KENNERLY RD STE 102, SAINT LOUIS, MO 63128-2197
(314) 364-4808
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2019033209
MO
Other
Enumeration date
06/16/2015
Last updated
07/09/2021
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