Individual
ROBERT L. WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
35 MADISON PROFESSIONAL PARK, REXBURG, ID 83440-2057
(208) 356-0711
Mailing address
35 MADISON PROFESSIONAL PARK, REXBURG, ID 83440-2057
(208) 356-0711
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D1657
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6I120
BLUE CROSS OF IDAHO
ID
Enumeration date
08/10/2006
Last updated
07/08/2007
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