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Individual

DR. THOMAS J. WALSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1959 NE PACIFIC ST, BOX 356510, SEATTLE, WA 98195-0001
(206) 543-3640
Mailing address
1959 NE PACIFIC ST, BOX 356510, SEATTLE, WA 98195-0001
(206) 543-3640

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
A95892
CA
208800000X
Urology Physician
Primary
MD60056506
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A958920
CA
Enumeration date
10/04/2006
Last updated
01/20/2009
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