Derrick W Walker, MD
Family Medicine in Indianapolis, IN. Individual provider (NPI-1).
NPI number1760611529
StatusActive
Last updated in NPPESFeb 6, 2017
Details
- NPI
- 1760611529
- Entity type
- Individual (NPI-1)
- Name
- Mr. Derrick W Walker
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2009
- Last updated
- Feb 6, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 01068282A | IN | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 11015165A | IN |
Practice location
7910 E Washington StSuite 200
Indianapolis, IN 46219-2890
Phone 317-355-7171 · Fax 317-355-9022
Mailing address
6626 E 75th StSuite 500
Indianapolis, IN 46250-2890
Phone 317-355-7199 · Fax 317-355-9022
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