Provider Demographics
NPI:1497925515
Name:WALKER, DENNIS C
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:C
Last Name:WALKER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10726 OLD EAGLE RIVER RD
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-8043
Mailing Address - Country:US
Mailing Address - Phone:907-622-0086
Mailing Address - Fax:907-622-0085
Practice Address - Street 1:10726 OLD EAGLE RIVER RD
Practice Address - Street 2:
Practice Address - City:EAGLE RIVER
Practice Address - State:AK
Practice Address - Zip Code:99577-8043
Practice Address - Country:US
Practice Address - Phone:907-622-0086
Practice Address - Fax:907-622-0085
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-04
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator