Individual
MR. JOHN D WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2825 PARKLAWN DR, MIDWEST CITY, OK 73110-4201
(405) 610-4411
Mailing address
7324 NE 94TH ST, OKLAHOMA CITY, OK 73151-9167
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
22850
OK
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
22850
OK
207Q00000X
Family Medicine Physician
22850
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100845170A
—
OK
Enumeration date
05/02/2006
Last updated
06/02/2010
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