Individual
GUDRUN STOCK WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 SAINT MARY PL, SHREVEPORT, LA 71101-4343
(318) 222-1149
(318) 425-2335
Mailing address
PO BOX 44123, SHREVEPORT, LA 71134-4123
(318) 222-1149
(318) 425-2335
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD018151
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1953741
—
LA
Enumeration date
05/31/2006
Last updated
02/18/2010
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