Individual
GRANT C WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1155 W JEFFERSON ST STE 202, FRANKLIN, IN 46131-2732
(317) 346-3883
(317) 346-3141
Mailing address
1155 W JEFFERSON ST STE 202, FRANKLIN, IN 46131-2732
(317) 346-3883
(317) 346-3141
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001416
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300016851
—
IN
Enumeration date
07/16/2012
Last updated
11/21/2019
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