Provider Demographics
NPI:1619295441
Name:WALKER, MARSHALL K (MD)
Entity Type:Individual
Prefix:MR
First Name:MARSHALL
Middle Name:K
Last Name:WALKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:MARSHALL
Other - Middle Name:KINGMAN
Other - Last Name:WALKER
Other - Suffix:SR
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3610 SPRINGHILL MEMORIAL DR. N.
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-1162
Mailing Address - Country:US
Mailing Address - Phone:251-410-3600
Mailing Address - Fax:251-410-3700
Practice Address - Street 1:3610 SPRINGHILL MEMORIAL DR. N.
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-1162
Practice Address - Country:US
Practice Address - Phone:251-410-3600
Practice Address - Fax:251-410-3743
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-04
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL311432085R0204X
MS249452085R0204X, 2085R0202X
390200000X
ALMD.311432085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology