Individual
LUKE MARK WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
750 N SYRINGA ST STE 100, POST FALLS, ID 83854-5275
(208) 262-2600
(208) 262-2700
Mailing address
1593 E POLSTON AVE, POST FALLS, ID 83854-5326
(208) 262-2300
(208) 262-2390
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8171659
ID
363A00000X
Physician Assistant
PA61356852
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487277836
—
ID
Enumeration date
05/20/2020
Last updated
12/12/2025
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