Provider Demographics
NPI:1518183417
Name:WALKER, RILLA K (PA)
Entity Type:Individual
Prefix:
First Name:RILLA
Middle Name:K
Last Name:WALKER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 W JOHNSON ST
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-7630
Mailing Address - Country:US
Mailing Address - Phone:405-414-2355
Mailing Address - Fax:
Practice Address - Street 1:620 24TH AVE SW
Practice Address - Street 2:OU NORMAN NEUROSURGERY
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-3913
Practice Address - Country:US
Practice Address - Phone:405-224-8111
Practice Address - Fax:405-701-5927
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1610363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical