Individual
DR. JOHN STUART WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2330 130TH AVE NE #201, BELLEVUE, WA 98005
(425) 455-9945
(425) 455-9947
Mailing address
2330 130TH AVE NE #201, BELLEVUE, WA 98005
(425) 455-9945
(425) 455-9947
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD00040702
WA
207N00000X
Dermatology Physician
ME72344
FL
207ND0900X
Dermatopathology Physician
MD00040702
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070010259
RAILROAD MEDICARE
FL
05
—
259935000
—
FL
01
—
41574
BLUECROSS/BLUESHIELD
FL
Enumeration date
10/11/2005
Last updated
06/13/2022
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