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Individual

BRENT L WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204-1720
(501) 500-3500
(501) 777-3519
Mailing address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204-1720
(501) 500-3500
(501) 777-3519

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
E-1138
AR
208VP0014X
Interventional Pain Medicine Physician
Primary
E-1138
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050067293
RAILROAD MEDICARE (LRPM)
AR
01
050067294
RAILROAD MEDICARE
AR
05
137517001
AR
01
171973300
US DEPT. OF LABOR OWCP
AR
01
18432000020
QUAL CHOICE (LRPM)
AR
01
5L114
BLUE CROSS BLUE SHIELD
AR
01
71033532430
QUAL CHOICE
AR
01
770132101
ARKANSAS BREASTCARE
AR
01
S00826
NOVASYS
AR
Enumeration date
09/27/2005
Last updated
07/26/2021
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