Individual
JASON D WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4512 KIRKWOOD HWY, SUITE 300, WILMINGTON, DE 19808-5123
(302) 992-9617
(302) 992-9633
Mailing address
1817 DELAWARE AVE, WILMINGTON, DE 19806-2331
(302) 992-9617
(302) 992-9633
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C10006332
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001164501
—
DE
Enumeration date
07/15/2005
Last updated
09/19/2012
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