Doctor Name: | ALAN GENE WALKER |
NPI Number: | 1982707964 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA C |
License Number: | 99PA29 |
Business Practice Address: | Exit 102 Off I40 1/2 Mile South Attn Aclbus Office Acoma Canoncito Laguna Hospital Ihs San Fidel, NM - 87049 |
Business Phone Number: | 5055525448 |
Business Fax Number: | 5055525490 |
Mailing Address: | Po Box 130, Attn Aclbus Office Acoma Canoncito Laguna Hospital Ihs SAN FIDEL |
State: | NM |
Postal Code: | 87049 |
Phone Number: | 5055525448 |
Fax Number: | 5055525490 |
NPI Enumeration Date: | 09/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207PE0004X |
License Number: | 99PA29 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NM |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | Emergency Medical Services |
Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |