Individual
BRENT E. WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1827 W 38TH ST, ERIE, PA 16508-2168
(814) 864-4048
(814) 868-0011
Mailing address
1827 W 38TH ST, ERIE, PA 16508-2168
(814) 864-4048
(814) 868-0011
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD027222E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106-3570
—
PA
01
—
131034
BLUE SHIELD
PA
Enumeration date
10/28/2005
Last updated
08/07/2020
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