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Walker Spine And Sports Specialists
Sports Medicine (Neuromusculoskeletal Medicine) Physician in Idaho Falls, Idaho
NPI 1790872109

Walker Spine And Sports Specialists is a Sports Medicine (Neuromusculoskeletal Medicine) Physician based in Idaho Falls, ID. Walker Spine And Sports Specialists practices in Idaho Falls, ID. The NPI Number for Walker Spine And Sports Specialists is 1790872109 and holds a License No. E65389 (Idaho).

The current practice location address for Walker Spine And Sports Specialists is 2319 Coronado St, Idaho Falls, ID and can be reached out via phone at 208-227-1200 and via fax at 208-227-1212.

Location: 2319 Coronado St, Idaho Falls, ID, 83404-7407
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Provider Profile Details
NPI Number
1790872109
Provider Name
Walker Spine And Sports Specialists
Credential
Provider Entity Type
Organization
Address
2319 Coronado St, Idaho Falls, ID, 83404-7407
Phone Number
208-227-1200
Fax Number
208-227-1212
Provider Enumeration Date
10/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010140195 01 ID REGENCE BLUE SHIELD
204221200 01 ID US DEPT OF LABOR
8H989 01 ID BLUE CROSS
DA4495 01 ID RAILROAD MEDICARE
806811100 05 ID
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Provider Business Practice Location Address Details
Address
2319 Coronado St
City
State
Zip
83404-7407
Phone Number
208-227-1200
Fax Number
208-227-1212
person
Provider Business Mailing Address Details
Address
2319 Coronado St
City
State
Zip
83404-7407
Phone Number
208-227-1200
Fax Number
208-227-1212
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neuromusculoskeletal Medicine, Sports Medicine
Speciality
-
Taxonomy
License No.
E65389 (Idaho)
Definition
Definition to come.
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