Individual
NICHOLAS E. WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
660 GOLDEN RIDGE RD, SUITE 250, GOLDEN, CO 80401-9541
(303) 233-1223
Mailing address
660 GOLDEN RIDGE RD, SUITE 250, GOLDEN, CO 80401-9541
(303) 233-1223
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
534311YMBG
MEDICARE PTAN
CO
Enumeration date
08/03/2016
Last updated
11/10/2016
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