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Individual

RICHARD L WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
3073 WHITE MOUNTAIN HIGHWAY, THE MEMORIAL HOSPITAL, NORTH CONWAY, NH 03860-5001
(603) 356-6045
(603) 356-4823
Mailing address
PO BOX 5001, NORTH CONWAY, NH 03860-5001
(603) 356-6045
(603) 356-4823

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0799G
NH
152W00000X
Optometrist
27OA03548
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1865102
NJ
Enumeration date
07/12/2005
Last updated
01/19/2010
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