Provider Demographics
NPI:1770652836
Name:WALKER, DELMAR JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:DELMAR
Middle Name:JAMES
Last Name:WALKER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2290 E FLAMINGO RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-0845
Mailing Address - Country:US
Mailing Address - Phone:702-454-8960
Mailing Address - Fax:702-735-0485
Practice Address - Street 1:2290 E FLAMINGO RD
Practice Address - Street 2:SUITE B
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-0845
Practice Address - Country:US
Practice Address - Phone:702-454-8960
Practice Address - Fax:702-735-0485
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB163111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVU75214Medicare UPIN
NVV31929Medicare ID - Type Unspecified