NPI 1083775100

Christian Michael Walker

Practitioner General Practice Dentistry Houma, LA

Practice location

Address: 720 Verret St, Houma, LA 70360-4634
Phone: (985) 868-7470
Mailing address: 1565 Bayou Blue Rd, Houma, LA 70364-3506

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 5594 (LA)

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Registry record

NPI: 1083775100
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Dec 2006
Record last updated: 8 Jul 2007

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.