Individual
DR. JOHN THOMAS WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3626 RUFFIN RD, SAN DIEGO, CA 92123-1810
(858) 565-9666
Mailing address
3626 RUFFIN RD, SAN DIEGO, CA 92123-1810
(858) 565-9666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD17007
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0126955
—
MS
05
—
114508001
—
AR
05
—
202447223
—
MO
05
—
3021710
—
TN
Enumeration date
02/27/2006
Last updated
02/12/2022
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