Individual
PAUL EDWARD WALSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450 S OCOTILLO AVE, BENSON, AZ 85602-6403
(520) 623-2642
(520) 327-9300
Mailing address
2149 E WARNER RD, STE 102, TEMPE, AZ 85284-3495
(480) 610-6100
(480) 610-6189
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
24073
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123577
HEALTHNET
—
05
—
379728
—
AZ
01
—
5231587
ASTNA
—
Enumeration date
06/21/2005
Last updated
11/05/2021
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