Individual
MR. JOSEPH WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
142 CROSS LANES DR, NITRO, WV 25143-1007
(304) 395-1833
Mailing address
1001 SOLON CT, DUNBAR, WV 25064-1040
(304) 395-1833
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-986
STATE ISSUED
WV
Enumeration date
11/04/2022
Last updated
11/04/2022
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