Individual
VERDON REED WALKER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
750 N 200 W, PROVO, UT 84601-1677
(801) 429-2000
Mailing address
589 S STATE ST, PROVO, UT 84606-5056
(801) 318-3368
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9515470
UT
363AM0700X
Medical Physician Assistant
9515470-1206
UT
Other
Enumeration date
08/25/2015
Last updated
05/20/2024
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