Ivan Leonard Walker PA-C

NPI 1124246525 - Physician Assistant - 363A00000X

NPI Details
NPI 1124246525
Gender Male
Enumeration Date 04/23/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3020 14TH ST NW
WASHINGTON DC, 20009-6865, US
Phone (202) 745-4300
Fax (202) 232-0723
Business Location
30 FRANKLIN ST NE
WASHINGTON DC, 20002-1008, US
Phone (202) 588-9320
Fax (202) 517-9184
Toxanomy
Taxonomy Code 363A00000X
License State Maryland
License Number C03341
Remove 1124246525 NPI Number
 

According to our database, Ivan Leonard Walker PA-C NPI is 1124246525, taxonomy code is 363A00000X and license number is C03341, license state is located at Maryland. Ivan Leonard Walker PA-C physically located at 3020 14th St Nw, Washington DC, 20009-6865. NPI Number Ivan Leonard Walker PA-C has the Individual type.

Sponsored links

1124246525 NPI number is provided on an as is basis without warranty of any kind. 1124246525 is maintained by the National Plan & Provider Enumeration System. The contents of Ivan Leonard Walker PA-C are for informational purposes only.