Provider Demographics
NPI:1922524891
Name:THE WALKER CLINIC OF AESTHETICS AND PLASTIC SURGERY PLLC
Entity Type:Organization
Organization Name:THE WALKER CLINIC OF AESTHETICS AND PLASTIC SURGERY PLLC
Other - Org Name:WALKER PLASTIC SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PLASTIC SURGEON
Authorized Official - Prefix:
Authorized Official - First Name:RONDI
Authorized Official - Middle Name:K
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-364-6673
Mailing Address - Street 1:3301 NEW MEXICO AVE NW STE 252
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-3610
Mailing Address - Country:US
Mailing Address - Phone:202-364-6673
Mailing Address - Fax:
Practice Address - Street 1:3301 NEW MEXICO AVE NW STE 252
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-3610
Practice Address - Country:US
Practice Address - Phone:202-364-6673
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD179112086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty