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Individual

DR. PAUL WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
930 MAJESTIC AVE, SUITE 200, NORFOLK, VA 23504-4055
(757) 627-5705
Mailing address
930 MAJESTIC AVE, SUITE 200, NORFOLK, VA 23504-4055
(757) 627-5705

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
010134006
VA
208000000X
Pediatrics Physician
Primary
010134006
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006701833
VA
Enumeration date
08/02/2006
Last updated
09/12/2012
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