Individual
DR. DIANE M WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1940 HARRISON AVE, PANAMA CITY, FL 32405-4542
(850) 763-0017
(850) 532-6454
Mailing address
1940 HARRISON AVE, PANAMA CITY, FL 32405-4542
(850) 763-0017
(850) 532-6454
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
ME133042
FL
2084P0800X
Psychiatry Physician
12756
MS
2084P0800X
Psychiatry Physician
ME133042
FL
2084P0804X
Child & Adolescent Psychiatry Physician
12756
MS
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME133042
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121680
—
MS
05
—
009967605
—
AL
01
—
260042735
MEDICARE RAILROAD
MS
Enumeration date
06/15/2006
Last updated
07/21/2022
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