NPI 1790872109

Walker Spine and Sports Specialists

Organisation Sports Medicine (Neuromusculoskeletal Medicine) Physician Idaho Falls, ID

Practice location

Address: 2319 Coronado St, Idaho Falls, ID 83404-7407
Phone: (208) 227-1200
Fax: (208) 227-1212

Authorised official

Name: Gary C Walker
Title: Owner
Phone: (208) 227-1200

Registered specialties

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence E65389 (ID)

Other Neuromusculoskeletal Medicine, Sports Medicine providers in Idaho →

Registry record

NPI: 1790872109
Entity type: Organization
NPI issued: 6 Oct 2006
Record last updated: 10 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.