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Individual

DOUGLAS C WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
300 W 1440 S, GARLAND, UT 84312
(435) 257-3684
(435) 257-7554
Mailing address
PO BOX 278, TREMONTON, UT 84337-0278
(435) 257-3684
(435) 257-7554

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
359239-1204
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D2581
UT
Enumeration date
07/01/2005
Last updated
08/13/2014
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