Doctor Name: | CHRISTOPHER J WALKER |
NPI Number: | 1023217866 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NPC |
License Number: | R043823 |
Business Practice Address: | 43 West Main Street Liberty, ME - 04949 |
Business Phone Number: | 2075894509 |
Business Fax Number: | 2075893104 |
Mailing Address: | Po Box 28, LIBERTY |
State: | ME |
Postal Code: | 049490028 |
Phone Number: | 2075894509 |
Fax Number: | 2075893104 |
NPI Enumeration Date: | 07/12/2007 |
NPI Last Update Date: | 03/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R043823 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |