Walker, Brent E

Walker, Brent E is an individual health care provider with primary practice located at 5301 E Grant Rd Orthopaedic Bldg, 1St Floor, Tucson AZ 85712-2805. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Walker, Brent E can be contacted via phone (520) 784-6200.

Contact Information

Primary practice address
5301 E Grant Rd Orthopaedic Bldg, 1St Floor Tucson AZ 85712-2805
Phone: (520) 784-6200
Fax: (520) 784-6109
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1400 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1400 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1400 Arizona

Profile Details

NPI number 1528069119
LBN Legal business name Walker, Brent E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Jun 14th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528069119 NPPES
Arizona MEDICAID 175514

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