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Individual

JOSEPH D. WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
910 S 300 W, BLANDING, UT 84511-3921
(435) 678-3601
Mailing address
PO BOX 130, MONTEZUMA CREEK, UT 84534-0130
(435) 651-3700
(435) 678-0608

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0312
NV
363A00000X
Physician Assistant
PA1589
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1720477508
NV
Enumeration date
01/15/2015
Last updated
02/10/2022
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