Doctor Name: | MR. ROGER STEVEN WALKER |
NPI Number: | 1770747677 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 12034495 |
Business Practice Address: | 5800 Annapolis Rd 414 Bladensburg, MD - 207102005 |
Business Phone Number: | 3018501040 |
Business Fax Number: | 3018501041 |
Mailing Address: | 2414 Kenton Pl, TEMPLE HILLS |
State: | MD |
Postal Code: | 207486811 |
Phone Number: | 3018501040 |
Fax Number: | 3018501041 |
NPI Enumeration Date: | 07/10/2008 |
NPI Last Update Date: | 07/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 12034495 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |