Individual
CHRISTOPHER JOHN WALSH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
UNIVERSITY OF IDAHO ATHLETIC TRAINING SERVICES, 1000 STADIUM WAY, MOSCOW, ID 83844-2302
(208) 885-0256
Mailing address
UNIVERSITY OF IDAHO ATHLETICS, 875 PERIMETER DRIVE MS 2302, MOSCOW, ID 83844
(208) 885-0256
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-515
ID
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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