Individual
GRANT EDWARD WALKER
Active
Individual
GRANT EDWARD WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
11112
MT
207XS0117X
Orthopaedic Surgery of the Spine Physician
30958
AZ
207XS0117X
Orthopaedic Surgery of the Spine Physician
7587A
WY
207XS0117X
Orthopaedic Surgery of the Spine Physician
DR32874
CO
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
M8790
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010143629
BLUE SHIELD
ID
01
—
106308600
DEPT OF LABOR
—
01
—
2093784
FIRST HEALTH
—
01
—
5470815
CCN
—
01
—
54841
BLUE CROSS
ID
01
—
801254
MEDICARE
CO
05
—
806635100
—
ID
Enumeration date
01/30/2007
Last updated
07/21/2020
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