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Individual

DR. WILLIAM JOSEPH WALSH III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2740 PENNSYLVANIA AVE, OGDEN, UT 84401-3320
(801) 675-5624
Mailing address
2740 PENNSYLVANIA AVE, OGDEN, UT 84401-3320
(385) 280-6337
(801) 675-5187

Taxonomy

Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
6054241-1205
UT
207RP1001X
Pulmonary Disease Physician
5054241-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6054241-1205
UTAH LICENSE
UT
Enumeration date
09/13/2007
Last updated
03/07/2023
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