Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | POD-000947 | AZ |
NPI | 1063860005 |
---|---|
Provider Name | Dr. Scott David Walker |
First Address | Phoenix, AZ 85016-8034 |
Second Address | Phoenix, AZ 85008-4948 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2016 |
Last Update Date | 25/08/2020 |