Provider Demographics
NPI:1427390905
Name:WALKER, WILLIAM RYAN (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:RYAN
Last Name:WALKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HUNTINGTON WAY STE 100
Mailing Address - Street 2:
Mailing Address - City:FAIRMONT
Mailing Address - State:WV
Mailing Address - Zip Code:26554-8819
Mailing Address - Country:US
Mailing Address - Phone:304-368-2422
Mailing Address - Fax:304-368-2426
Practice Address - Street 1:1 HUNTINGTON WAY STE 100
Practice Address - Street 2:
Practice Address - City:FAIRMONT
Practice Address - State:WV
Practice Address - Zip Code:26554-8819
Practice Address - Country:US
Practice Address - Phone:304-368-2422
Practice Address - Fax:304-368-2426
Is Sole Proprietor?:No
Enumeration Date:2013-03-21
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35126926207Q00000X
WV30825207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine