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Individual

DR. THOMAS N WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
327 MEDICAL PARK DR, BRIDGEPORT, WV 26330-9006
(681) 342-1610
(681) 342-1626
Mailing address
327 MEDICAL PARK DR, BRIDGEPORT, WV 26330-9006
(681) 342-3461

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
17721
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001713042
BCBS AAP NUMBER
WV
05
0060749000
WV
01
205542387
AAP TRI CARE NUMBER
WV
01
27005299701
BRICKSTREET
WV
Enumeration date
03/23/2006
Last updated
04/05/2022
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