Organization
ANESTHESIA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L WALKER JR. M.D. (PRESIDENT)
(304) 925-5486
Entity
Organization
Contact information
Practice address
3508 STAUNTON AVE SE, CHARLESTON, WV 25304-1477
(304) 925-5486
(304) 925-8075
Mailing address
3508 STAUNTON AVE SE, CHARLESTON, WV 25304-1477
(304) 925-5486
(304) 925-8075
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0063882001
—
WV
Enumeration date
07/29/2005
Last updated
07/21/2022
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