Crayton Ross Walker
Oral and Maxillofacial Pathology
1060 E 100 S 204
Salt Lake City
, Utah 84102-1501
Crayton Ross Walker
Oral and Maxillofacial Pathology
1060 E 100 S 204
Salt Lake City
, Utah 84102-1501
(801) 364-9437
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Crayton Ross Walker
- 1060 E 100 S 204
- Salt Lake City, UT
- Zip : 84102-1501
- Fax : (801) 364-9437
- Phone : (801) 322-5423
Second Address
- Crayton Ross Walker
- 1060 E 100 S 204
- Salt Lake City, UT
- Zip : 84102-1501
- Fax : (801) 364-9437
- Phone : (801) 322-5423
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | 168208-1205 | UT |
National Provider Identifier
| NPI | 1053456368 |
|---|---|
| Provider Name | Crayton Ross Walker |
| First Address | Salt Lake City, UT 84102-1501 |
| Second Address | Salt Lake City, UT 84102-1501 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/02/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.