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Individual

JOHN A WALKER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
16052 DOCTORS BLVD, HAMMOND, LA 70403-1478
(985) 345-9606
(985) 345-9616
Mailing address
PO BOX 280, PONCHATOULA, LA 70454-0280
(985) 345-9606
(985) 345-9616

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
011436
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1159336
LA
01
P00060600
RAILROAD MEDICARE
LA
Enumeration date
11/23/2005
Last updated
04/15/2008
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