Walker Spine And Sports Specialists in Idaho Falls - Neuromusculoskeletal Medicine, Sports Medicine
Walker Spine And Sports Specialists - NPI 1790872109
Walker Spine And Sports Specialists is a Neuromusculoskeletal Medicine, Sports Medicine in Idaho Falls, Idaho. Walker Spine And Sports Specialists practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine, Sports Medicine. The NPI Number for Walker Spine And Sports Specialists is 1790872109. The last update date is 2016-03-10.
Walker Spine And Sports Specialists's current location address is 2319 Coronado St, Idaho Falls, Idaho. You can contact this provider via phone number 2082271200 and fax number 2082271212. The mailing address for Walker Spine And Sports Specialists is 2319 Coronado St, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Walker Spine And Sports Specialists |
|---|---|
| Address | 2319 Coronado St, Idaho Falls, Idaho |
| Phone Number | 2082271200 |
| Fax Number | 2082271212 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Walker C Gary |
| Credentials | MD |
| Telephone Number | 2082271200 |
NPI Number Detail
| NPI Number | 1790872109 |
|---|---|
| Provider Enumeration Date | 2006-10-06 |
| Last Updated Date | 2016-03-10 |
Provider Mailing Address Detail
| Address | 2319 Coronado St |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834047407 |
| Phone Number | 2082271200 |
| Fax Number | 2082271212 |
Provider's Primary Taxonomy Detail
| Speciality | Neuromusculoskeletal Medicine, Sports Medicine |
|---|---|
| Taxonomy | 204C00000X |
| Licence No | E65389 |
|
Definition: A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10140195 | ID | REGENCE BLUE SHIELD | |
| 204221200 | ID | US DEPT OF LABOR | |
| 8H989 | ID | BLUE CROSS | |
| DA4495 | ID | RAILROAD MEDICARE | |
| 806811100 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Walker Spine And Sports Specialists by the Centers for Medicare & Medicaid Services?
The Walker Spine And Sports Specialists has been assigned the NPI (National Provider Identifier) 1790872109 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Walker Spine And Sports Specialists?
The Walker Spine And Sports Specialists is situated at 2319 Coronado St, in the city of Idaho Falls, state of ID, with the zip code 834047407.
What is Walker Spine And Sports Specialists's specialized field of practice, and what is the corresponding taxonomy classification code?
The Walker Spine And Sports Specialists's area of specialization is Neuromusculoskeletal Medicine, Sports Medicine, and the corresponding taxonomy code that categorizes this field of practice is 204C00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790872109 to Walker Spine And Sports Specialists?
The Centers for Medicare & Medicaid Services originally issued the 1790872109 to Walker Spine And Sports Specialists on 2006-10-06.
As of what date was the information regarding Walker Spine And Sports Specialists, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Walker Spine And Sports Specialists, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-03-10.