DR. JERRY WALKER, DMD
Dentist - General Practice
Active
Individual
NPI: 1154310373
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | D-3839 (ID) |
Frequently Asked Questions
NPI 1154310373 is the National Provider Identifier for DR. JERRY WALKER, DMD, a Dentist - General Practice provider located in Soda Springs, ID. This NPI was enumerated on October 20, 2005.
DR. JERRY WALKER, DMD practices at 390 SOUTH 3RD WEST, Soda Springs, ID 83276.
Quick Facts
- NPI
- 1154310373
- Type
- Individual
- Enumerated
- Oct 20, 2005
- Last Updated
- May 26, 2009
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