Individual
JOSEPH ROBERT WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
277 OHUA AVE, HONOLULU, HI 96815-6612
(808) 922-4787
Mailing address
277 OHUA AVE, HONOLULU, HI 96815-6612
(808) 922-4787
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
8218
AZ
363A00000X
Physician Assistant
Primary
AMD-1073
HI
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AMD-1073
STATE LICENSE
HI
Enumeration date
09/02/2020
Last updated
06/09/2022
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