Provider Demographics
NPI:1619173200
Name:WALKER, PATRICIA SUE (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:SUE
Last Name:WALKER
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5565 CARPINTERIA AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:CARPINTERIA
Mailing Address - State:CA
Mailing Address - Zip Code:93013-1446
Mailing Address - Country:US
Mailing Address - Phone:805-745-1013
Mailing Address - Fax:805-566-0319
Practice Address - Street 1:5565 CARPINTERIA AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:CARPINTERIA
Practice Address - State:CA
Practice Address - Zip Code:93013-1446
Practice Address - Country:US
Practice Address - Phone:805-745-1013
Practice Address - Fax:805-566-0319
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2009-09-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA66174207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology