Organization
NATHAN WALKER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN WALKER (OPTOMETRIST)
(610) 586-0651
Entity
Organization
Contact information
Practice address
30 S MACDADE BLVD, GLENOLDEN, PA 19036-1725
(610) 586-0651
Mailing address
30 S MACDADE BLVD, GLENOLDEN, PA 19036-1725
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
OEG-001360
PA
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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