Individual
DR. MARC ROBERT WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 COCHRANE CIR # B7500, FORT CARSON, CO 80913
(719) 526-7115
(719) 526-7377
Mailing address
1650 COCHRANE CIR # B7500, FORT CARSON, CO 80913-4613
(719) 526-7115
(719) 526-7377
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0048806
CO
208800000X
Urology Physician
036144623
IL
208D00000X
General Practice Physician
0048806
CO
208D00000X
General Practice Physician
15535
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036144623
STATE LICENSE
IL
Enumeration date
06/18/2008
Last updated
06/11/2024
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