Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 63425 | WI |
Y | 208600000X | Surgeon | 63425 | WI |
N | 2086S0120X | Pediatric Surgery | 63425 | WI |
N | 2086S0120X | Pediatric Surgery | R-10775 | IA |
NPI | 1205077104 |
---|---|
Provider Name | Dr. Sarah K. Walker |
First Address | El Paso, TX 79905-2700 |
Second Address | Iowa City, IA 52242-1009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2009 |
Last Update Date | 28/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1205077104 | (05) | WI |