Provider Demographics
NPI:1467729376
Name:WALKER, COLIN LEIGH (MD)
Entity Type:Individual
Prefix:DR
First Name:COLIN
Middle Name:LEIGH
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 1:430 MONTANA CIR
Mailing Address - Street 2:
Mailing Address - City:OJAI
Mailing Address - State:CA
Mailing Address - Zip Code:93023-1621
Mailing Address - Country:US
Mailing Address - Phone:805-746-6573
Mailing Address - Fax:805-715-3599
Practice Address - Street 1:430 MONTANA CIR
Practice Address - Street 2:
Practice Address - City:OJAI
Practice Address - State:CA
Practice Address - Zip Code:93023-1621
Practice Address - Country:US
Practice Address - Phone:805-746-6573
Practice Address - Fax:805-715-3599
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-20
Last Update Date:2011-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG20940207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine