Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 0101250822 | VA |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | D0037239 | MD |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD039279 | DC |
NPI | 1083716823 |
---|---|
Provider Name | Dr. Mark Allan Walker |
First Address | Rockville, MD 20852-4908 |
Second Address | Halethorpe, MD 21227-3553 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2006 |
Last Update Date | 29/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F22495 | (02) |