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MR. JOSEPH RYAN WALSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
100 ENTRANCE WAY, DEPT NEUROLOGICAL SURGERY, STE B, SAINT PETERS, MO 63376-1645
(636) 916-7140
(636) 916-7139
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(636) 916-7140
(636) 916-7139

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2016004094
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
220035332
MO
Enumeration date
12/28/2015
Last updated
04/17/2025
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