Individual
DR. PHILLIP M WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 N MADISON AVE, GREENWOOD, IN 46142-4135
(317) 888-3508
Mailing address
PO BOX 4780, BLOOMINGTON, IN 47402-4780
(812) 336-1690
(812) 349-1311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01032853A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01032853A
IN LICENSE
IN
01
—
01032853B
CSR
IN
Enumeration date
09/01/2006
Last updated
03/07/2023
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