Individual
TONY WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
813 W. ROCKWOOD DR., PHOENIX, AZ 85027
(602) 296-4486
Mailing address
813 W ROCKWOOD DR, PHOENIX, AZ 85027-5543
(602) 296-4486
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
2195750
AZ
Other
Enumeration date
09/24/2010
Last updated
02/23/2011
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