Individual
BRIAN M WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 NORTH ACADEMY AVENUE, DANVILLE, PA 17822
(570) 271-6655
(570) 214-3967
Mailing address
100 NORTH ACADEMY AVENUE, DANVILLE, PA 17822
(570) 271-6655
(570) 214-3967
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS015791
PA
207RP1001X
Pulmonary Disease Physician
FW2825923
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/10/2010
Last updated
08/06/2020
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