Provider Demographics
NPI:1639480403
Name:WALKER, SCOTT (MD, MS, MS)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:
Last Name:WALKER
Suffix:
Gender:M
Credentials:MD, MS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 HONEYWOOD LN
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-6921
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1501 N CAMPBELL AVE
Practice Address - Street 2:UNIVERSITY OF ARIZONA MEDICAL CENTER
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85724-5085
Practice Address - Country:US
Practice Address - Phone:520-626-7878
Practice Address - Fax:520-626-0090
Is Sole Proprietor?:No
Enumeration Date:2010-06-27
Last Update Date:2010-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZR72250208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery