Individual
CHARLES CLINTON WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 SUTTER PL, SUITE 101, DAVIS, CA 95616-6201
(530) 750-5830
(530) 750-5891
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(855) 771-0335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G56569
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G565690
—
CA
Enumeration date
07/24/2006
Last updated
07/10/2015
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