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Individual

DR. GREGORY ALLAN WALSH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
545 W GRANADA BLVD, ORMOND BEACH, FL 32174-5103
(386) 672-6243
Mailing address
851 CHICKADEE DR, PORT ORANGE, FL 32127-4770
(386) 761-4107

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH6392
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22635
BCBS
FL
Enumeration date
01/27/2006
Last updated
07/08/2007
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