Provider Demographics
NPI:1679991319
Name:JUDIANNE WALKER D.P.M. CORP.
Entity Type:Organization
Organization Name:JUDIANNE WALKER D.P.M. CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JUDIANNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:925-830-2929
Mailing Address - Street 1:1320 EL CAPITAN DR
Mailing Address - Street 2:#410
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-6258
Mailing Address - Country:US
Mailing Address - Phone:925-830-2929
Mailing Address - Fax:925-830-4770
Practice Address - Street 1:1320 EL CAPITAN DR
Practice Address - Street 2:#410
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-6258
Practice Address - Country:US
Practice Address - Phone:925-830-2929
Practice Address - Fax:925-830-4770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-31
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE5001213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty