Individual
MARK STEPHEN WALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 S DOBSON RD, A201, CHANDLER, AZ 85224-5669
(480) 821-3821
(186) 677-7239
Mailing address
655 S DOBSON RD, A201, CHANDLER, AZ 85224-5669
(480) 821-3821
(186) 677-7239
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15974
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274639
—
AZ
01
—
Z62340
MEDICARE Z62340
AZ
Enumeration date
10/11/2006
Last updated
09/16/2011
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