Individual
DR. SEAN THOMAS WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4021 AVENUE B, SCOTTSBLUFF, NE 69361-4602
(303) 761-9190
(720) 874-4462
Mailing address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-39693
KS
2085R0202X
Diagnostic Radiology Physician
27792
NE
2085R0202X
Diagnostic Radiology Physician
57947
CO
2085R0204X
Vascular & Interventional Radiology Physician
Primary
27792
NE
2085R0204X
Vascular & Interventional Radiology Physician
57947
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111257098
MEDICARE PIN
KS
05
—
1568758878
—
CO
01
—
561591YQ33
MEDICARE PIN
CO
01
—
561591YQ3L
MEDICARE PIN
CO
01
—
561591YQN9
MEDICARE PIN
CO
01
—
561591YQPG
MEDICARE PIN
CO
01
—
561591ZLJ3
MEDICARE PIN
CO
01
—
KA3249089
MEDICARE PIN
KS
01
—
NA1214114
MEDICARE PIN
NE
01
—
NA1215112
MEDICARE PIN
NE
01
—
NA2517093
MEDICARE PIN
NE
Enumeration date
06/24/2011
Last updated
03/31/2024
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