Individual
MICHAEL S WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3116 N. ELIZABETH, PUEBLO, CO 81008
(719) 542-7222
(719) 542-5034
Mailing address
3116 N ELIZABETH ST, PUEBLO, CO 81008-1163
(719) 542-7222
(719) 542-5034
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1662
CO
Other
Enumeration date
12/14/2006
Last updated
03/05/2013
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