Individual
DR. MARK DAVID WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
16329
SC
2084P0800X
Psychiatry Physician
Primary
D0046237
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161811300
—
MD
01
—
359054
MAMSI MDIPA
—
01
—
522172306
TRICARE
—
01
—
9753
CAREFIRST BC BS
MD
Enumeration date
02/20/2007
Last updated
07/08/2007
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