Individual
MR. GREGORY A WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
189 PROUTY DR, MEDICAL ARTS BUILDING, NEWPORT, VT 05855-9326
(802) 334-3569
(802) 334-4134
Mailing address
189 PROUTY DR, MEDICAL ARTS BUILDING, NEWPORT, VT 05855-9326
(802) 334-3569
(802) 334-4134
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
0420009224
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00028549
BLUE SHIELD
VT
05
—
0VN1251
—
VT
05
—
30202221
—
NH
01
—
350841
MVP
VT
Enumeration date
11/01/2006
Last updated
07/08/2007
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