Provider Demographics
NPI:1952564296
Name:WALKER, JON R
Entity Type:Individual
Prefix:MR
First Name:JON
Middle Name:R
Last Name:WALKER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 S VICTORIA AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:ATLANTIC CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08401-7727
Mailing Address - Country:US
Mailing Address - Phone:985-264-5397
Mailing Address - Fax:
Practice Address - Street 1:211 S VICTORIA AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:ATLANTIC CITY
Practice Address - State:NJ
Practice Address - Zip Code:08401-7727
Practice Address - Country:US
Practice Address - Phone:985-264-5397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-07
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography