Provider Demographics
NPI:1851723324
Name:WALKER SURGERY AND ENDOSCOPY PC
Entity Type:Organization
Organization Name:WALKER SURGERY AND ENDOSCOPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:S
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:307-332-6222
Mailing Address - Street 1:195 CAPITOL ST
Mailing Address - Street 2:
Mailing Address - City:LANDER
Mailing Address - State:WY
Mailing Address - Zip Code:82520-3928
Mailing Address - Country:US
Mailing Address - Phone:307-332-6222
Mailing Address - Fax:307-332-3271
Practice Address - Street 1:195 CAPITOL ST
Practice Address - Street 2:
Practice Address - City:LANDER
Practice Address - State:WY
Practice Address - Zip Code:82520-3928
Practice Address - Country:US
Practice Address - Phone:307-332-6222
Practice Address - Fax:307-332-3271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-06
Last Update Date:2013-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty