Individual
ELLEN K WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
550 UNIVERSITY BLVD, RADIOLOGY DEPT, INDIANAPOLIS, IN 46202-5149
(317) 715-6402
(617) 715-6415
Mailing address
250 N SHADELAND AVE, SUITE 130, INDIANAPOLIS, IN 46219-4959
(317) 963-0860
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000569A
IN
Other
Enumeration date
10/31/2007
Last updated
04/02/2015
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