Individual
DR. WALKER P MCVEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12236 WOODVILLE ST, CLINTON, LA 70722
(225) 683-3384
(225) 683-3353
Mailing address
PO BOX 96, 12236 WOODVILLE ST, CLINTON, LA 70722
(225) 683-3384
(225) 683-3353
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2848
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1828483
—
LA
01
—
F1242
BLUE CROSS BLUE SHIELD
LA
Enumeration date
08/21/2006
Last updated
07/08/2007
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