| Doctor Name: | WILBUR GORDON WALKER |
| NPI Number: | 1548472491 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | AW322549 |
| Business Practice Address: | 2505 Samaritan Drive Suite 501 San Jose, CA - 95124 |
| Business Phone Number: | 4083583663 |
| Business Fax Number: | 4083563939 |
| Mailing Address: | 2505 Samaritan Drive, Suite 501 SAN JOSE |
| State: | CA |
| Postal Code: | 95124 |
| Phone Number: | 4083583663 |
| Fax Number: | 4083563939 |
| NPI Enumeration Date: | 05/04/2007 |
| NPI Last Update Date: | 07/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332900000X |
| License Number: | AW322549 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Non-Pharmacy Dispensing Site |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |