Individual
JEFFREY MARTIN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
751 S BASCOM AVE, PEDIATRICS DEPT, SAN JOSE, CA 95128-2604
(408) 885-5550
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G76706
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
G76706
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G767060
—
CA
Enumeration date
10/19/2006
Last updated
07/16/2007
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