Individual
MR. RYAN MCLEAN WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1454 UNIVERSITY VLG, SALT LAKE CITY, UT 84108-3518
(385) 775-4354
Mailing address
4646 S ZENIA MEADOWS CT, SALT LAKE CITY, UT 84107-4117
(385) 775-4405
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA64860
CA
363AM0700X
Medical Physician Assistant
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Other
Enumeration date
10/12/2018
Last updated
06/25/2025
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