Jacob Walker, PA-C

NPI 1033651989 · on the registry since 2016 · sole proprietor

Practice

Address: 382 N Overland Ave
Burley, ID 83318
Phone: (208) 678-6996
Fax: (208) 678-6866
Organisation at this address: Urgent Care Of Idaho, Llc
River View Urgent Care & Medical Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-11-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho