Male or Other

Mr. William B. Walker PA-C

Medical Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Mr. William Bradbury Walker PA-C

NPI Number

1427039650

NPI Type

Individual Provider

Gender

Male

Enumeration Date

11/05/2005

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9100985

Contact
Information

Purpose

Mailing
Location

Address

1536 N JEFFERSON ST
1536 N JEFFERSON ST

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32209-6525
32209-6525

Country

US
US

Telephone Number

(904) 475-6319
(904) 475-6319

Identifiers

Identifier

970010568

Identifier State

FL

Identifier Issuer

RAILROAD MEDICARE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/03/2019

Provider Address

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