Individual
MELVIN O WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2754 W REPUBLIC RD, SPRINGFIELD, MO 65807-3901
(417) 881-8812
(417) 881-1618
Mailing address
2754 W REPUBLIC RD, SPRINGFIELD, MO 65807-3901
(417) 881-8812
(417) 881-1618
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R9801
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110221088
RAILROAD MEDICARE
—
01
—
141644
HEALTHLINK
—
05
—
201069747
—
MO
01
—
22657
BCBS
—
01
—
2530
COX HEALTH SYSTEMS
—
Enumeration date
06/19/2006
Last updated
01/30/2012
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