Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH12864 | FL |
N | 111NN1001X | Nutrition | DC010402 | PA |
NPI | 1124325188 |
---|---|
Provider Name | Dr. Daniel Clifford Walker |
First Address | Citrus Springs, FL 34434-3960 |
Second Address | Citrus Springs, FL 34434-3960 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2011 |
Last Update Date | 21/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1124325188 | (05) | FL |