Carly Diane Walker, PA-C

NPI #1447870431 in Eureka, Missouri

Provider Information

NPI Number: 1447870431
Entity Type: Individual
Name: Carly Diane Walker, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 20, 2020
Last Updated: May 24, 2021

Practice Location

Address: 611 N CENTRAL AVE
City: Eureka
State: Missouri
ZIP Code: 63025-1232
Phone: (636) 579-2882

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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