Individual
MARVIN DEAN WALKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12368 STRATFORD DR, SUITE 300, CLIVE, IA 50325-8162
(515) 226-9810
(515) 226-8408
Mailing address
153 37TH ST, DES MOINES, IA 50312-4303
(515) 277-0753
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
02204
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043364
—
IA
Enumeration date
04/27/2006
Last updated
07/08/2007
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