Organization
LANCE PATRICK WALSH MD PHD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANCE P WALSH MD PHD (MEDICAL DIRECTOR)
(760) 346-7191
Entity
Organization
Contact information
Practice address
72057 HIGHWAY 111, RANCHO MIRAGE, CA 92270-4927
(760) 346-7191
(760) 346-7905
Mailing address
2201 NORTH JEFFERSON AVENUE, MOUNT PLEASANT, TX 75455-2338
(903) 577-6000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A98108
CA
Other
Enumeration date
09/25/2008
Last updated
02/28/2019
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