Provider Information for 1619283116
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JAMES JOHNATHON WALKER
Sex: Male
NPI: 1619283116
Last Updated: 2024-06-21
Certification Date: 2024-06-21
Certification Date: 2024-06-21
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1619283116 | ||||||||||||
| Enumeration Date | 2010-08-23 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | PO BOX 9854 KALISPELL, MT 59904-2854 United States Phone: 406-890-2132 | Fax: | ||||||||||||
| Primary Practice Address | 359 N MAIN ST STE 8 KALISPELL, MT 59901-3902 United States Phone: 406-890-2132 | Fax: | ||||||||||||
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