Individual
MR. RYAN ROBERT WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
Mailing address
397 STATE ST APT 11A, ALBANY, NY 12210-1244
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0600003678
VT
Other
Enumeration date
04/09/2008
Last updated
05/22/2012
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