Individual
MR. RYAN WALSINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
615 S. NEW BALLAS RD., ST LOUIS, MO 63141
(636) 386-9224
(636) 386-7679
Mailing address
339 CONSORT DR, BALLWIN, MO 63011-4439
(636) 386-9224
(636) 386-7679
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
PENDING
MO
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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