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Individual

RUSSELL WEED WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(480) 967-6500
(480) 967-6540
Mailing address
PO BOX 27514, TEMPE, AZ 85285-7514
(480) 967-6500
(480) 967-6540

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
21699
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
138299
AZ
Enumeration date
08/10/2005
Last updated
04/01/2010
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