Individual
MR. ROBERT PHILLIP WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3635 VISTA AVE. AT GRAND BLVD, ST. LOUIS, MO 63110
(314) 577-8750
(314) 268-5102
Mailing address
300 S GRAND BLVD, # 1610, SAINT LOUIS, MO 63103-2448
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100021
MO
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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