VERDON REED WALKER III


Address: 589 S State St, Provo, UT 84606-5056
Phone: 8014292000

VERDON REED WALKER III (NPI# 1871960823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871960823
Entity Type Individual
Full Name VERDON REED WALKER III
Credential PA
Practice Address 589 S State St
Provo
UT 84606-5056
Practice Telephone 8014292000
Mailing Telephone 8013183368
Enumeration Date 2015-08-25
Last Update Date 2015-09-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363AM0700X Physician Assistant
Specialization: Medical
9515470-1206 UT Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
9515470 UT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 589 S STATE ST
City PROVO
State UT
Zip Code 84606-5056

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427075134 Mountainlands Community Health Center, Inc Dentist 589 S State St, Provo, UT 84606-5056 2006-07-17
1144829946 Mountainlands Community Health Center, Inc Dentist 589 S State St, Provo, UT 84606-5056 2020-10-22
1295347169 Maria Dj Villagrana Nurse Practitioner 589 S State St, Provo, UT 84606-5056 2020-08-20
1932678307 Sarah Gwendolyn Harmon Davis Nurse Practitioner 589 S State St, Provo, UT 84606-5056 2018-11-15
1003334525 Kelly Marie Daly-wolfe Physician Assistant 589 S State St, Provo, UT 84606 2017-09-05
1497290555 Elizabeth Anne Balle Social Worker 589 S State St, Provo, UT 84606-5056 2016-12-28
1639539521 Leslie Divall Midwife 589 S State St, Provo, UT 84606-5056 2016-03-04
1801223425 Tyler David Sommer Physician Assistant 589 S State St, Provo, UT 84606-5056 2013-09-27
1902151954 Stacy Ann Garnica Nurse Practitioner 589 S State St, Provo, UT 84606 2012-07-16
1871812370 Mountainlands Family Pharmacy Pharmacy 589 S State St, Provo, UT 84606-5056 2010-05-24
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053935551 Olivia Stiles Specialist/Technologist 200 E 515 N, Provo, UT 84606 2020-06-01
1417439076 Quin Spencer Volpe Counselor 1035 E 560 N, Provo, UT 84606 2018-08-30
1700365434 Hyunwook Lee Specialist/Technologist 1369 S 1500 E, Provo, UT 84606 2018-08-13
1598268930 Victor Bert Arthur Moxley Specialist 290 N 300 E, Provo, UT 84606 2018-03-12
1184132623 Academy Dental LLC Advanced Practice Dental Therapist 488 N 100 E St., Provo, UT 84606 2018-01-18
1720433485 Sean Lamb Counselor 231 S. 100 E., Provo, UT 84606 2016-05-02
1508236795 Forever Young Dentistry Pllc Clinic/Center 2335 S. State Street, Ste #200, Provo, UT 84606 2015-09-30
1558766014 Nancy Huber Physician Assistant Mountainland Community Health Center, 529 South State Street, Provo, UT 84606 2014-10-27
1356778377 Myrna Suzanne Gillis Marriage & Family Therapist 1726 Buckley Drive, Provo, UT 84606 2013-10-04
1558651067 Melissa Anne Mccreary Counselor 151 S.state St. University Ave., Ste 1400, Provo, UT 84606 2011-04-18
Find all providers in zip 84606

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316240575 James E Carly Physician Assistant 280 W Riverpark Dr Ste 120, Provo, UT 84604 2010-12-09
1851628218 Robert Andrew Serpico Physician Assistant 1375 N University Ave, Provo, UT 84604-2658 2009-11-05
1588897524 Alan Taylor Frampton Physician Assistant 1750 N Wymount Terrace Drive, Provo, UT 84602-4800 2009-08-25
1295925642 Kindra K Jacoby Physician Assistant 280 West River Park Dr., Ste. #350, Provo, UT 84604 2007-07-31
1528271228 Arnold Brett Davis Physician Assistant 1355 North University Ave, Suite 210, Provo, UT 84604 2007-05-08
1417977505 Susan R Dyle Physician Assistant 619 N 500 W, Provo, UT 84601-1547 2006-07-20
1629035795 Gary E Nelson Physician Assistant 150 E Center St, Suite 1100, Provo, UT 84606-3106 2006-05-01
1689142440 Brian Todd Spencer Physician Assistant 1034 N 500 W, Provo, UT 84604-3380 2018-11-08
1003334525 Kelly Marie Daly-wolfe Physician Assistant 589 S State St, Provo, UT 84606 2017-09-05
1982157301 Rebekah Michelle Hosman Physician Assistant 3650 N University Ave, #200, Provo, UT 84604-6656 2016-08-02
Find all providers in PROVO

Competitor

Search similar providers

City PROVO
Zip Code 84606

Improve Information

Please comment or provide details below to improve the information on VERDON REED WALKER III.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches