Provider Demographics
NPI:1912011651
Name:WALKER, PAUL FRANCIS (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:FRANCIS
Last Name:WALKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3455 MAIN ST
Mailing Address - Street 2:SUITE 7
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01107-1147
Mailing Address - Country:US
Mailing Address - Phone:413-732-1699
Mailing Address - Fax:413-781-2319
Practice Address - Street 1:3455 MAIN ST
Practice Address - Street 2:SUITE 7
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01107-1147
Practice Address - Country:US
Practice Address - Phone:413-732-1699
Practice Address - Fax:413-781-2319
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA38403207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy