Individual
MR. WALTER DESHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
39000 BOB HOPE DR, K-108, RANCHO MIRAGE, CA 92270-3221
(760) 595-4330
Mailing address
39000 BOB HOPE DR, K-108, RANCHO MIRAGE, CA 92270-3221
(760) 595-4330
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
15929
CA
Other
Enumeration date
11/28/2005
Last updated
04/20/2016
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