Individual
DR. JONATHAN ROBERT WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-2518
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-2518
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0102205372
VA
2086S0127X
Trauma Surgery Physician
Primary
0102205372
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/01/2017
Last updated
07/05/2024
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