Provider Demographics
NPI:1578622247
Name:WALKER, THOMAS HARRY (CAR)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:HARRY
Last Name:WALKER
Suffix:
Gender:M
Credentials:CAR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40545 SLOOP CIR
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487-9569
Mailing Address - Country:US
Mailing Address - Phone:970-870-2888
Mailing Address - Fax:970-870-2888
Practice Address - Street 1:40545 SLOOP CIR
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-9569
Practice Address - Country:US
Practice Address - Phone:970-870-2888
Practice Address - Fax:970-870-2888
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist