Individual
BONNIE SUSAN WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 AIRPORT RD, RIFLE, CO 81650-8510
(970) 625-1100
Mailing address
501 AIRPORT RD, RIFLE, CO 81650-8510
(970) 625-1100
(970) 625-0725
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0051471
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386874204
NPI
CO
05
—
47229535
—
CO
Enumeration date
07/27/2009
Last updated
02/14/2020
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