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Individual

DR. JARRETT ELBERT WALSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4921 PARKVIEW PL, DEPT OTOLARYNGOLOGY, STE 11A, SAINT LOUIS, MO 63110-1032
(314) 362-7509
(314) 362-7522
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-7509
(314) 362-7522

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2024037722
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200091153
MO
Enumeration date
06/01/2011
Last updated
08/21/2025
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