Individual
DR. JOHN DAVID WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
301 NORTH B STREET, ZUNI, NM 87327
(505) 782-7350
Mailing address
PO BOX 467, ZUNI, NM 87327-0467
(505) 782-7350
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD4154
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28029852
—
NM
Enumeration date
07/29/2014
Last updated
03/10/2015
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