Individual
DR. BRADLEY JEFFERSON WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
909 UNITY RD, CROSSETT, AR 71635-9444
(870) 364-9111
Mailing address
909 UNITY RD, CROSSETT, AR 71635-9444
(870) 364-9111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-5429
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176035001
—
AR
Enumeration date
05/02/2007
Last updated
05/16/2023
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