Individual
ANDREW L. WALSHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9191 GRANT ST., THORNTON, CO 80229-8812
(303) 450-4482
(303) 306-7753
Mailing address
PO BOX 173862, DENVER, CO 80217-3862
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DR.0053309
CO
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
039070
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18480543
—
CO
01
—
P01384974
RAILROAD MEDICARE
CO
Enumeration date
08/03/2006
Last updated
07/07/2015
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