Organization Name: | WALKER INTERNAL MEDICINE CLINIC PA |
NPI Number: | 1508082389 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHANDRA DENICE BURNS (TEAM COORDINATOR) |
Mailing Address: | 9600 Lile Dr #220 Little Rock |
State: | AR US |
Postal Code: | 72205 |
Phone Number: | 5012191028 |
Fax Number: | 5012191174 |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 04/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | C8337 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |