Provider Demographics
NPI:1497952071
Name:WALKER, HARLAN II (MD)
Entity Type:Individual
Prefix:DR
First Name:HARLAN
Middle Name:
Last Name:WALKER
Suffix:II
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 1:1135 HALYARD PL
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32507-7958
Mailing Address - Country:US
Mailing Address - Phone:409-682-0790
Mailing Address - Fax:
Practice Address - Street 1:NAMI
Practice Address - Street 2:
Practice Address - City:PENSACOLA NAS
Practice Address - State:FL
Practice Address - Zip Code:32512
Practice Address - Country:US
Practice Address - Phone:850-452-3691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01055631A390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program